Department of Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Braz J Infect Dis. 2012 Nov-Dec;16(6):590-3. doi: 10.1016/j.bjid.2012.10.005. Epub 2012 Nov 8.
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.
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。