Vichova Z, Beuret P, Boyer M, Chanoz J
Service de réanimation, CHG de Roanne, 42328 Roanne, France.
Ann Fr Anesth Reanim. 2006 Jan;25(1):40-2. doi: 10.1016/j.annfar.2005.07.077. Epub 2005 Oct 12.
We report a case of pulmonary mucormycosis in a 65-year-old diabetic patient. Pulmonary mucormycosis should be suspected in predisposed patients presenting a pneumonia that resists to antibiotics. The microbiologic diagnosis requires usually a biopsy using bronchoscopic or surgical procedures. The optimal therapy requires an early systemic antifungal treatment associated with the resection of the pulmonary lesion and the control of the underlying disease.
我们报告一例65岁糖尿病患者的肺毛霉病。对于患有肺炎且对抗生素治疗无效的易感患者,应怀疑患有肺毛霉病。微生物学诊断通常需要通过支气管镜检查或外科手术进行活检。最佳治疗方案需要早期进行全身性抗真菌治疗,并结合肺部病变切除术以及对基础疾病的控制。