De Gentile L, Chabasse D
Service de Parasitologie-Mycologie, CHRU, Angers.
Ann Biol Clin (Paris). 1990;48(1):1-8.
Lungs can be the target of many fungal parasitic organisms. Some of them are specific to the lung (Pneumocystis); while others will migrate there in the course of their life cycle (Ascaris) or be caught in it (Paragonimus, Echinococcus). Sometimes, they also generate hypersensitivity reactions (fungi). In making a diagnosis one has to consider the present state of health or the disease history of the patient. A great number of parasites or mycetes are opportunist agents found in immuno-compromised patients. The epidemiological investigation giving details of a trip, even a long time ago, in a tropical region allows the suspicion of an imported parasitosis or an exotic mycosis. At present, we have on one hand, the mixing of populations, and on the other hand, many immuno-compromised situations which has given rise to a renewed interest in fungal and parasitic lung diseases.
肺部可能成为许多真菌性寄生生物的靶器官。其中一些生物对肺部具有特异性(肺孢子菌);而其他一些生物则会在其生命周期中迁移至肺部(蛔虫)或被困在肺部(肺吸虫、棘球绦虫)。有时,它们还会引发超敏反应(真菌)。在进行诊断时,必须考虑患者目前的健康状况或病史。大量寄生虫或真菌是在免疫功能低下的患者中发现的机会性病原体。详细了解患者是否曾去过热带地区,即使是很久以前的旅行,有助于怀疑是否患有输入性寄生虫病或外来真菌病。目前,一方面存在人群混合的情况,另一方面有许多免疫功能低下的状况,这使得人们对真菌性和寄生性肺部疾病重新产生了兴趣。