Guo Jie, Sun Yi, Man Yanru, Huang Xiaochun, Qin Qin, Zhou Daoyin, Deng Anmei
Department of Laboratory Diagnosis, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.
J Thorac Dis. 2015 Mar;7(3):E43-6. doi: 10.3978/j.issn.2072-1439.2014.10.26.
We report a case involving coinfection with Strongyloides stercoralis (S. stercoralis) and Aspergillus found in the bronchoalveolar lavage fluid (BALF) of an elderly male patient who had a medical history of autoimmune pancreatitis (AIP) and who was treated with prednisone therapy 6 months previously. The patient presented with stubborn pulmonary symptoms and signs because of Aspergillus invasion and mechanical destruction caused by larval migration. We found S. stercoralis and Aspergillus in his BALF that provided diagnostic proof.
我们报告了一例在一名老年男性患者的支气管肺泡灌洗液(BALF)中发现粪类圆线虫(S. stercoralis)和曲霉菌合并感染的病例。该患者有自身免疫性胰腺炎(AIP)病史,6个月前接受了泼尼松治疗。由于曲霉菌侵袭和幼虫移行导致的机械性破坏,患者出现了顽固的肺部症状和体征。我们在其BALF中发现了粪类圆线虫和曲霉菌,这提供了诊断依据。