Alpern Jonathan D, Bahr Nathan C, Vazquez-Benitez Gabriela, Boulware David R, Sellman Jonathan S, Sarosi George A
Division of Infectious Disease & International Medicine, Department of Medicine,University of Minnesota, Minneapolis; Department of Medicine, Regions Hospital, St. Paul, Minnesota.
Division of Infectious Disease & International Medicine, Department of Medicine,University of Minnesota, Minneapolis; Division of Infectious Diseases, Department of Medicine, University of Kansas.
Open Forum Infect Dis. 2016 Apr 19;3(2):ofw078. doi: 10.1093/ofid/ofw078. eCollection 2016 Apr.
The diagnosis of blastomycosis is often delayed. We identified 28 cases of pulmonary blastomycosis in a retrospective chart review. Most patients received multiple antibiotic courses before being diagnosed, and the sputum KOH smear was rarely used. Diagnostic delay can be decreased with higher suspicion for pulmonary blastomycosis and early use of the sputum KOH smear.
芽生菌病的诊断常常被延误。在一项回顾性病历审查中，我们识别出28例肺芽生菌病病例。大多数患者在被诊断之前接受了多个疗程的抗生素治疗，并且很少使用痰KOH涂片检查。提高对肺芽生菌病的怀疑度并早期使用痰KOH涂片检查可减少诊断延误。
