Iwasaki K, Tategami T, Sakamoto Y, Yasutake T, Otsubo S
Department of Surgery, National Saishunso Hospital.
Kyobu Geka. 1991 May;44(5):429-32.
Aspergillosis is a mycotic disease caused by a variety of species of the dimorphic fungus aspergillosis, especially aspergillus fumigatus. But the report of pulmonary aspergillosis by aspergillus candidus is very rare. We experienced a surgical case of pulmonary aspergillosis caused by aspergillus candidus. The patient is a 18-year-old girl. Eleven years ago, she had suffered from pneumonia of rt. lower lobe, there after she often has suffered from cough and fever every year. In 1986, chest x-ray photography shows a small cavity in rt. lower lobe. In 1989, it becomes a big cavity of 8 X 8 cm in diameter with niveau. She has cough and bloody sputum of 100-150 ml daily. We have cultured aspergillus candidus from sputum, bloody pus obtained by percutaneous aspiration needle lung biopsy of the cavity and bloody pus in the cavity which was resected on March 3, 1989. But the pathological investigation could not demonstrate any fungus ball or fungus body of aspergillus candidus.
曲霉病是一种由多种双态真菌曲霉属引起的真菌病,尤其是烟曲霉。但白色念珠菌引起肺曲霉病的报道极为罕见。我们遇到了一例由白色念珠菌引起的肺曲霉病手术病例。患者是一名18岁女孩。11年前,她曾患右肺下叶肺炎,此后每年常咳嗽、发热。1986年,胸部X线摄影显示右肺下叶有一个小空洞。1989年,它变成了一个直径8×8厘米的大空洞并有液平。她每天咳嗽,咳出100 - 150毫升血痰。我们从痰液、经皮穿刺针吸肺活检从空洞获取的血性脓液以及1989年3月3日切除的空洞内的血性脓液中培养出了白色念珠菌。但病理检查未发现任何白色念珠菌的真菌球或菌体。