肾曲菌球——一名艾滋病患者曲霉菌病的不寻常表现。
A renal aspergilloma--an unusual presentation of aspergillosis in an HIV patient.
作者信息
Meya David, Lwanga Isaac, Ronald Allan, Kigonya Edward
机构信息
Department of Internal Medicine, Mulago Medical School, Kampala, Uganda.
出版信息
Afr Health Sci. 2005 Dec;5(4):341-2. doi: 10.5555/afhs.2005.5.4.341.
Abstract
BACKGROUND
Aspergillosis is a fungal infection occasionally found in immunosuppressed patients. The recommended management of patients with renal aspergilloma remains unclear.
METHODS
An HIV patient presented with flank pain and an abdominal mass. Renal aspergilloma was diagnosed.
RESULTS
The patient with CD4 above 200 did well with nephrectomy followed by amphotericin therapy for 14 days.
CONCLUSIONS
The merits of surgery followed by antifungal chemotherapy or vice versa are limited. More studies are needed to ascertain the most effective method of treatment for Aspergillosis in HIV patients.
摘要
背景
曲霉病是一种真菌感染，偶尔见于免疫抑制患者。肾曲菌球患者的推荐治疗方法仍不明确。
方法
一名艾滋病患者出现侧腹痛和腹部肿块。诊断为肾曲菌球。
结果
CD4细胞计数高于200的该患者在肾切除术后接受两性霉素治疗14天，恢复良好。
结论
先手术再进行抗真菌化疗或反之的优点有限。需要更多研究来确定艾滋病患者曲霉病最有效的治疗方法。
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