Natesan Sinthumathi, Abraham Georgi, Mathew Milly, Lalitha M K, Srinivasan C N
Sri Ramachandra Medical College and Research Institute, Chennai, India.
Hemodial Int. 2007 Oct;11(4):403-5. doi: 10.1111/j.1542-4758.2007.00208.x.
A 29-year-old diabetic woman who had a previously failed renal allograft on maintenance hemodialysis developed sternal aspergillosis with Aspergillus terreus following a pericardiectomy. She was successfully treated with surgical debridement and a combination of antifungal agents including amphotericin B, caspofungin, and voriconizole. The diagnostic difficulties and management are discussed.
一名29岁的糖尿病女性，之前接受的肾移植失败，一直在进行维持性血液透析，在进行心包切除术后发生了胸骨曲霉病，病原体为土曲霉。她通过手术清创以及联合使用包括两性霉素B、卡泊芬净和伏立康唑在内的抗真菌药物成功治愈。文中讨论了诊断难点及治疗方法。
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