Zhou Yi-ping, Zhu Xin-jian, Li Ming, Liu Hui, Chen Ya-shuo
Department of Respiratory Medicine, Shenzhen Fourth People's Hospital Affiliated to Guangdong Medical College, Shenzhen 518033, China.
Zhonghua Jie He He Hu Xi Za Zhi. 2006 Jan;29(1):23-5.
To describe the clinical features of bronchopulmonary infection with hypermastigotes.
Two cases of bronchopulmonary infection with hypermastigotes were reported. The clinical features of another six cases from the Chinese literature were reviewed.
Bronchopulmonary infection with hypermastigotes mostly occurs in the hot and humid southern area. The symptoms are severe, with different manifestations such as chronic cough, asthma, pneumonia, and even lung abscess. Final diagnosis is made by the presence of hypermastigotes in smears of secretions from the respiratory tract. An antiprotozoal such as metronidazole is always effective.
In patients with unexplained cough, asthma, and pneumonia or lung abscess which do not respond to ordinary therapy, rare pathogens such as hypermastigotes need to be considered.
描述超鞭毛虫所致支气管肺部感染的临床特征。
报告2例超鞭毛虫所致支气管肺部感染病例。回顾中国文献中另外6例的临床特征。
超鞭毛虫所致支气管肺部感染多发生于炎热潮湿的南方地区。症状严重，有慢性咳嗽、哮喘、肺炎甚至肺脓肿等不同表现。通过呼吸道分泌物涂片发现超鞭毛虫做出最终诊断。甲硝唑等抗原虫药治疗总是有效的。
对于原因不明的咳嗽、哮喘、肺炎或肺脓肿患者，经普通治疗无效时，需考虑超鞭毛虫等罕见病原体感染。
