曲霉菌感染继发脓气胸：一例报告
Pyopneumothorax secondary to Aspergillus infection: a case report.
作者信息
Kant Surya, Saheer S, Singh Abhijjeet, Hassan Ghulam
机构信息
MD, Professor, Department of Pulmonary Medicine, CSM Medical University, UP, Lucknow, India-226003.
出版信息
Oman Med J. 2012 Nov;27(6):494-6. doi: 10.5001/omj.2012.118.
A 32 -year- old male presented with complaints of fever, dry cough, breathlessness and right sided chest pain of two months duration. Chest radiograph showed right sided hydropneumothorax which revealed frank pus on diagnostic thoracocentesis, for which tube thoracostomy was done. Despite vigorous broad spectrum antibiotic coverage, postural drainage and chest physiotherapy, there was no clinical improvement. Further work up included serology, pleural fluid culture, closed as well as thoracoscopic guided pleural biopsy revealed growth of Aspergillus fumigatus. Patient was prescribed antifungal medication (Voriconazole) and subsequent thoracotomy with right sided pneumonectomy showed good clinical recovery.
一名32岁男性，主诉发热、干咳、气促及右侧胸痛2个月。胸部X线片显示右侧液气胸，诊断性胸腔穿刺抽出明显脓液，遂行胸腔闭式引流术。尽管给予了强效广谱抗生素治疗、体位引流及胸部物理治疗，临床症状仍无改善。进一步检查包括血清学检查、胸腔积液培养、闭式及胸腔镜引导下胸膜活检，结果显示有烟曲霉菌生长。患者接受了抗真菌药物（伏立康唑）治疗，随后行开胸手术及右侧肺切除术，临床恢复良好。
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