地方性真菌病：被忽视的社区获得性肺炎病因。

Endemic mycoses: overlooked causes of community acquired pneumonia.

机构信息

Pulmonary-Critical Care and Infectious Diseases, Indiana University and Richard L. Roudebush VA Medical Center, 1481 W. 10th St., 111P-IU, Indianapolis, IN, USA.

出版信息

Respir Med. 2012 Jun;106(6):769-76. doi: 10.1016/j.rmed.2012.02.004. Epub 2012 Mar 3.

DOI:10.1016/j.rmed.2012.02.004

PMID:22386326

Abstract

The endemic mycoses are important but often overlooked causes for community acquired pneumonia. Delays in recognition, diagnosis and proper treatment often lead to disastrous outcomes. This topic is not usually discussed in reviews and guidelines addressing the subject of community acquired pneumonia. In this review we discuss the three major endemic mycoses in North America that present as community acquired pneumonias; Coccidioidomycosis, Histoplasmosis and Blastomycosis. We discuss their epidemiology, clinical presentations, methods of diagnosis and current treatment strategies.

摘要

地方性真菌病是社区获得性肺炎的重要但常被忽视的病因。对其识别、诊断和适当治疗的延误往往会导致灾难性的后果。在针对社区获得性肺炎的综述和指南中，通常不会讨论这个主题。在这篇综述中，我们讨论了在北美的三种主要的地方性真菌病，它们表现为社区获得性肺炎；球孢子菌病、组织胞浆菌病和芽生菌病。我们讨论了它们的流行病学、临床表现、诊断方法和当前的治疗策略。