Mycoses. 2010 May;53(3):265-8. doi: 10.1111/j.1439-0507.2009.01693.x. Epub 2009 Mar 7.
The lungs are common sites for the occurrence of saprophytic or invasive mycosis as well as hydatid cysts. The two diseases seldom coexist, and the manifestation is seen as a fungal ball (usually aspergilloma) formed in the cavity left behind after hydatid cystectomy. Active invasion and proliferation of the fungi in the laminated ectocyst or sometimes the pericyst of the hydatid is very unusual. We report such a unique coexistence identified in two of the six surgically excised pulmonary hydatid cysts in the past 2 years. Both were immunocompetent males, who had presented with non-specific symptoms of cough, haemoptysis and chest pain. The septate slender hyphae of the invading fungus resembled those of Aspergillus.
肺部是腐生性或侵袭性真菌感染以及包虫囊肿的常见部位。这两种疾病很少同时存在，其表现为包虫囊肿切除术后遗留的腔隙中形成的真菌球（通常为曲霉球）。包虫的分层外囊或有时是囊壁的真菌的主动侵袭和增殖非常罕见。我们报告了过去 2 年中在 6 个手术切除的肺包虫囊肿中发现的这种独特的共存现象。这两例患者都是免疫功能正常的男性，表现为非特异性咳嗽、咯血和胸痛症状。侵袭性真菌的分隔细长菌丝类似于曲霉菌。
