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非吸烟患者在无诱发风险因素的情况下行肺叶切除术后反复发生肺毛霉菌病。

Recurrent pulmonary mucormycosis after lobectomy in a non-smoking patient without predisposing risk factors.

机构信息

Department of Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.

出版信息

Braz J Infect Dis. 2012 Nov-Dec;16(6):590-3. doi: 10.1016/j.bjid.2012.10.005. Epub 2012 Nov 8.

Abstract

Pulmonary mucormycosis is a very rare clinical condition in patients without underlying risk factors. A limited number of cases have been reported in predominantly elderly patients; history of smoking appears to be a common feature. A case of non-smoking male who developed pulmonary mucormycosis with the longest reported follow-up is presented. In addition, this is also the first reported case with disease recurrence after lobectomy (two years) in an immunocompetent host. Treatment with an additional lobectomy and amphotericin B was successful in this patient.

摘要

肺毛霉病在无潜在风险因素的患者中是一种非常罕见的临床病症。主要在老年患者中报告了少数病例;吸烟史似乎是一个常见特征。本文报告了一例非吸烟男性患者发生肺毛霉病,随访时间最长。此外,这也是首例免疫功能正常宿主在肺叶切除术后(两年)疾病复发的病例报告。在该患者中,附加肺叶切除和两性霉素 B 治疗取得了成功。

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