Pagano Livio, Caira Morena, Fianchi Luana
Istituto di Ematologia, Università Cattolica S Cuore, Roma, Italy.
Ann Med. 2005;37(4):259-69. doi: 10.1080/07853890510037374.
Invasive fungal infections are an important cause of morbidity and mortality in patients with hematological malignancies, and in particular fungal pneumonia is the main clinical manifestation in this category of patients. The fungal agents responsible for this complication are various, but Aspergillus spp. and other molds such as Zygomycetes or Fusarium spp. represent the most frequently isolated micro-organisms. Less commonly, pneumonia could be due to other 'no-molds' fungal agents such as Candida spp, Cryptococcus spp, or Pneumocystis jirovecii . This review mainly focuses on practical aspects relevant to epidemiology, diagnosis and therapeutic management of the rare cases of pneumonia due to no-molds agents in patients affected by hematological malignancies.
侵袭性真菌感染是血液系统恶性肿瘤患者发病和死亡的重要原因,尤其是真菌性肺炎是这类患者的主要临床表现。导致这种并发症的真菌病原体多种多样,但曲霉菌属以及其他霉菌如接合菌或镰刀菌属是最常分离出的微生物。较少见的情况是,肺炎可能由其他“非霉菌”真菌病原体引起,如念珠菌属、隐球菌属或耶氏肺孢子菌。本综述主要关注血液系统恶性肿瘤患者中由非霉菌病原体引起的罕见肺炎病例在流行病学、诊断和治疗管理方面的实际问题。