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侵袭性播散性念珠菌病伴肺部外周结节空洞性病变的病例报告。

Case report of invasive, disseminated candidiasis with peripheral nodular cavitary lesions in the lung.

作者信息

Arshad Hafiza, Garcia Silvia, Khaja Misbahuddin

机构信息

Division of Pulmonary and Critical Care Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, 1650 Grand Concourse, Bronx, NY 10457, United States.

Department of Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, 1650 Grand Concourse, Bronx, NY 10457, United States.

出版信息

Respir Med Case Rep. 2016 Nov 10;20:34-37. doi: 10.1016/j.rmcr.2016.11.003. eCollection 2017.

DOI:10.1016/j.rmcr.2016.11.003
PMID:27909682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5124354/
Abstract

We report a case of invasive candidiasis presenting as multiple lung nodules and cavitary lesions with minimal pleural effusion. infections of the lung are rare but can occur after hematologic dissemination of the yeast from other body sites, such as the skin and the gastrointestinal and genitourinary tracts. Here, we describe the case of a 56-year-old female with a history of end-stage renal disease (ESRD) who presented with fever, productive cough, and pulmonary nodules and cavitary lesions seen on a chest computed tomography (CT). The patient's blood cultures were positive for zeylanoides.

摘要

我们报告一例侵袭性念珠菌病,表现为多个肺结节和空洞性病变,伴有少量胸腔积液。肺部感染罕见,但可在酵母菌从其他身体部位(如皮肤、胃肠道和泌尿生殖道)发生血液播散后出现。在此,我们描述一例56岁患有终末期肾病(ESRD)的女性患者,她出现发热、咳痰,胸部计算机断层扫描(CT)显示有肺结节和空洞性病变。患者的血培养结果显示季也蒙念珠菌呈阳性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8930/5124354/87c5fb9f878f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8930/5124354/d132be1ea6dc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8930/5124354/e087a9f78662/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8930/5124354/a2fc245e34bb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8930/5124354/aa2178eab43f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8930/5124354/e9301bbee3bc/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8930/5124354/87c5fb9f878f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8930/5124354/d132be1ea6dc/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8930/5124354/e087a9f78662/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8930/5124354/a2fc245e34bb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8930/5124354/aa2178eab43f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8930/5124354/e9301bbee3bc/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8930/5124354/87c5fb9f878f/gr6.jpg

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2
Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America.《念珠菌病管理临床实践指南:美国传染病学会2016年更新版》
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Invasive candidiasis presenting multiple pulmonary cavitary lesions on chest computed tomography.
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Prevalence of Chronic Erythematous Candidiasis in Lebanese Denture Wearers: a Clinico-microbiological Study.黎巴嫩义齿佩戴者慢性红斑性念珠菌病的患病率:一项临床微生物学研究。
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Ann Med Health Sci Res. 2013 Apr;3(2):238-44. doi: 10.4103/2141-9248.113669.
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