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[马尔尼菲青霉病。一例报告及文献复习]

[Penicilliosis marneffei. Report of a case and review of literatures].

作者信息

Kang X M

机构信息

Nanjing Army General Hospital.

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 1992 Dec;15(6):336-8, 379.

PMID:1339613
Abstract

Penicilliosis marneffei is a rare deep fungal infection. The endemic area especially located in the Southeast of Asia. In the former literatures till 1990, 29 cases were reported, most of them were diagnosed pathologically from autopsy. Since 1989 there were more reports of P. marneffei in the HIV infected individuals and graft recipient, so far as the increased immunocompromised hosts systemic fungi infection would be a crucial problem. In this report, a case of systemic Penicilliosis marneffei according to biopsy and cultural identification was reported. Amphotericin B was administered in a total dose of 873 mg, and got a good response. The pathogenesis, clinical manifestations and diagnosis were reviewed.

摘要

马尔尼菲青霉病是一种罕见的深部真菌感染。流行地区尤其位于亚洲东南部。在1990年以前的文献中,报告了29例病例,其中大多数是通过尸检病理诊断的。自1989年以来,有更多关于马尔尼菲青霉在艾滋病病毒感染者和移植受者中的报告,随着免疫功能低下宿主的增加,系统性真菌感染将成为一个关键问题。在本报告中,报告了一例根据活检和培养鉴定确诊的系统性马尔尼菲青霉病病例。给予两性霉素B总剂量873毫克,取得了良好的反应。对其发病机制、临床表现和诊断进行了综述。

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