Dąbrowska Marta, Durlik Magdalena, Maskey-Warzęchowska Marta, Mazurkiewicz Michał, Mikołajczyk-Kornik Natalia, Krenke Rafal
>From the Department of Internal Medicine, Pneumonology and Allergology, Medical University of Warsaw, Poland.
Exp Clin Transplant. 2018 Jun;16(3):333-336. doi: 10.6002/ect.2015.0366. Epub 2016 Jul 27.
Early diagnosis of invasive pulmonary mycoses in immunocompromised patients is a major determinant of effective treatment. However, making a reliable diagnosis is challenging and often requires transbronchial or even surgical lung biopsy. We provide evidence that endobronchial ultrasound-guided transbronchial needle aspiration may be an attractive, less invasive diagnostic method. Endobronchial ultrasound-guided transbronchial needle aspiration was not only a diagnostic clue in the presented kidney transplant recipient with invasive pulmonary mycosis but was useful in assessment of treatment efficacy.
免疫功能低下患者侵袭性肺真菌病的早期诊断是有效治疗的主要决定因素。然而,做出可靠的诊断具有挑战性,通常需要经支气管甚至手术肺活检。我们提供的证据表明,支气管内超声引导下经支气管针吸活检术可能是一种有吸引力的、侵入性较小的诊断方法。支气管内超声引导下经支气管针吸活检术不仅是该例侵袭性肺真菌病肾移植受者的诊断线索,而且对评估治疗效果也有帮助。