McGraw Elizabeth P, Kane Jason M, Kleiman Martin B, Scherer L R
Division of Pediatric Radiology, Department of Radiology, Box 3808, McGovern-Davison Children's Health Center, Duke University Medical Center, Durham, NC 27710, USA.
Pediatr Radiol. 2002 Dec;32(12):862-4. doi: 10.1007/s00247-002-0808-2. Epub 2002 Sep 13.
Histoplasmosis is the most common endemic respiratory mycosis in the United States. We report the clinical and imaging findings in a case of a child with the rare presentation of a neck abscess and mediastinal lymphadenopathy secondary to acute, non-disseminated histoplasmosis. Imaging findings often mimic other granulomatous infections such as tuberculosis or neoplastic processes such as lymphoma. Histoplasmosis should be considered in the differential diagnosis of a child who presents with enlarged mediastinal and cervical lymphadenopathy.
组织胞浆菌病是美国最常见的地方性呼吸道真菌病。我们报告了一例儿童病例的临床和影像学表现，该患儿因急性非播散性组织胞浆菌病罕见地出现颈部脓肿和纵隔淋巴结肿大。影像学表现常类似其他肉芽肿性感染，如结核病，或肿瘤性病变，如淋巴瘤。对于出现纵隔和颈部淋巴结肿大的儿童，鉴别诊断时应考虑组织胞浆菌病。
