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一名由烟曲霉和白色念珠菌引起变应性支气管肺真菌病的患者。

A patient with allergic bronchopulmonary mycosis caused by Aspergillus fumigatus and Candida albicans.

作者信息

Datau E A

机构信息

Department of Internal Medicine, Siloam International Hospitals (SHPM). Siloam Hospitals Group's CEO Office. Siloam Hospital Lippo Village 5th floor, Jl. Siloam No.6, Karawaci, Indonesia.

出版信息

Acta Med Indones. 2012 Oct;44(4):317-23.

Abstract

Allergic Bronchopulmonary Mycosis (ABPM) is an exagregated immunologic response to fungal colonization in the lower airways. It may cause by many kinds of fungal, but Aspergillus fumigatus is the most common cause of ABPM, although other Aspergillus and other fungal organisms, like Candida albicans, have been implicated. Aspergllus fumigatus and Candida albicans may be found as outdoor and indoor fungi, and cause the sensitization, elicitation of the disease pathology, and its clinical manifestations. Several diagnostic procedurs may be impicated to support the diagnosis of ABPM caused by Aspergillus fumigatus and Candida albicans. A case of allergic bronchopulmonary mycosis caused by Aspergillus fumigatus and Candida albicans in a 48 year old man was discussed. The patient was treated with antifungal, corticosteroids, and antibiotic for the secondary bacterial infection. The patient's condition is improved without any significant side effects.

摘要

变应性支气管肺曲霉病(ABPM)是对下呼吸道真菌定植的一种过度免疫反应。它可能由多种真菌引起,但烟曲霉是ABPM最常见的病因,不过其他曲霉菌和其他真菌病原体,如白色念珠菌,也与之有关。烟曲霉和白色念珠菌可作为室外和室内真菌被发现,并引起致敏、引发疾病病理及其临床表现。可能需要采用多种诊断程序来支持由烟曲霉和白色念珠菌引起的ABPM的诊断。本文讨论了一名48岁男性由烟曲霉和白色念珠菌引起的变应性支气管肺真菌病病例。该患者接受了抗真菌药、皮质类固醇和抗生素治疗以应对继发性细菌感染。患者病情好转,且无任何明显副作用。

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