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一名肾移植受者的肺组织胞浆菌病

Pulmonary histoplasmosis in a renal allograft recipient.

作者信息

Lobo V, Joshi A, Khatavkar P, Kale M K

机构信息

Department of Nephrology, King Edward Memorial Hospital, Pune, Maharashtra, India.

Department of Pathology, King Edward Memorial Hospital, Pune, Maharashtra, India.

出版信息

Indian J Nephrol. 2014 Mar;24(2):120-3. doi: 10.4103/0971-4065.127907.

DOI:10.4103/0971-4065.127907
PMID:24701047
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3968601/
Abstract

Histoplasmosis, seen rarely in kidney transplantracipients, can vary from an innocuous illness often misdiagnosed as tuberculosis to a severe disseminated disease with a high mortality. We describe a case with non-specific signs in whom the diagnosis was made by histopathological examination of the lesion. Prompt introduction of specific treatment led to Histoplasmosis, seen rarely in kidney transplantracipients, can vary from an innocuous illness often misdiagnosed as tuberculosis to a severe disseminated disease with a high mortality. We describe a case with non-specific signs in whom the diagnosis was made by histopathological examination of the lesion. Prompt introduction of specific treatment led to the patient making an excellent recovery the patient making an excellent recovery.

摘要

组织胞浆菌病在肾移植受者中很少见,其表现可能从常被误诊为结核病的无害病症到具有高死亡率的严重播散性疾病不等。我们描述了一例具有非特异性体征的病例,该病例通过病变的组织病理学检查得以确诊。及时采用特异性治疗使患者得以良好康复。组织胞浆菌病在肾移植受者中很少见,其表现可能从常被误诊为结核病的无害病症到具有高死亡率的严重播散性疾病不等。我们描述了一例具有非特异性体征的病例,该病例通过病变的组织病理学检查得以确诊。及时采用特异性治疗使患者得以良好康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/766f/3968601/b88970cbc2c5/IJN-24-120-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/766f/3968601/577f4f1319b5/IJN-24-120-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/766f/3968601/0a3090b39960/IJN-24-120-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/766f/3968601/55e97f2e4fd8/IJN-24-120-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/766f/3968601/b88970cbc2c5/IJN-24-120-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/766f/3968601/577f4f1319b5/IJN-24-120-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/766f/3968601/0a3090b39960/IJN-24-120-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/766f/3968601/55e97f2e4fd8/IJN-24-120-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/766f/3968601/b88970cbc2c5/IJN-24-120-g005.jpg

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本文引用的文献

1
Histoplasmosis in India: truly uncommon or uncommonly recognised?印度的组织胞浆菌病:真的罕见还是未被普遍认识?
J Assoc Physicians India. 2012 Oct;60:25-8.
2
Genitourinary histoplasmosis in post-renal transplant patient: Diagnostic dilemma.肾移植术后患者的泌尿生殖系统组织胞浆菌病:诊断困境
Indian J Urol. 2012 Jul;28(3):359-61. doi: 10.4103/0970-1591.102730.
3
An official American Thoracic Society statement: Treatment of fungal infections in adult pulmonary and critical care patients.美国胸科学会官方声明:成人肺部和重症监护患者真菌感染的治疗。
Am J Respir Crit Care Med. 2011 Jan 1;183(1):96-128. doi: 10.1164/rccm.2008-740ST.
4
Infection with Histoplasma capsulatum in a renal transplant recipient.一名肾移植受者感染荚膜组织胞浆菌。
Saudi J Kidney Dis Transpl. 2010 Nov;21(6):1115-7.
5
Renal allograft recipient with co-existing BK virus nephropathy and pulmonary histoplasmosis: report of a case.肾移植受者合并 BK 病毒肾病和肺组织胞浆菌病:病例报告。
Clin Exp Nephrol. 2010 Dec;14(6):641-4. doi: 10.1007/s10157-010-0332-x. Epub 2010 Aug 17.
6
Histoplasmosis in solid organ transplant recipients: 10 years of experience at a large transplant center in an endemic area.实体器官移植受者中的组织胞浆菌病:在流行地区一家大型移植中心的10年经验。
Clin Infect Dis. 2009 Sep 1;49(5):710-6. doi: 10.1086/604712.
7
Histoplasmosis: a clinical and laboratory update.组织胞浆菌病:临床与实验室最新进展
Clin Microbiol Rev. 2007 Jan;20(1):115-32. doi: 10.1128/CMR.00027-06.
8
Disseminated histoplasmosis.播散性组织胞浆菌病
J Assoc Physicians India. 2005 Mar;53:185-9.
9
Disseminated histoplasmosis 19 years after renal transplantation.肾移植19年后播散性组织胞浆菌病
Clin Nephrol. 1999 Jun;51(6):373-8.