免疫功能正常儿童的腹部淋巴结隐球菌病

Abdominal Lymphonodular Cryptococcosis in an Immunocompetent Child.

作者信息

Zaidi Mehjabeen, Qureshi Sonia, Shakoor Sadia, Fatima Saira, Mir Fatima

机构信息

Department of Pediatrics and Child Health, Aga Khan University, Stadium Road, Karachi 74800, Pakistan.

Microbiology, Department of Pathology, Aga Khan University, Stadium Road, Karachi 74800, Pakistan.

出版信息

Case Rep Pediatr. 2015;2015:347403. doi: 10.1155/2015/347403. Epub 2015 Nov 16.

DOI:10.1155/2015/347403

PMID:26649217

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4663295/

Abstract

We describe our experience with an apparently immunocompetent child presenting with pyrexia of unknown origin without focal signs. Investigations revealed lymphadenopathy at lung hila, mesentery, and porta hepatis. The child had received at least two months of empiric antituberculous therapy (ATT) before she came to us. A CT-guided biopsy revealed granulomatous inflammation. PAS stain showed yeasts which stained blue with Alcian blue, suggesting C. neoformans.

摘要

我们描述了一名看似免疫功能正常的儿童的病例，该儿童出现不明原因发热且无局灶性体征。检查发现肺门、肠系膜和肝门处有淋巴结病。该儿童在来我们这里之前已经接受了至少两个月的经验性抗结核治疗（ATT）。CT引导下的活检显示为肉芽肿性炎症。PAS染色显示酵母，用阿尔辛蓝染色呈蓝色，提示新型隐球菌。