Jaffer Faraz, Beatty Norman, Ahmad Kareem
Department of Internal Medicine, University of Arizona, Tucson, Arizona, USA.
BMJ Case Rep. 2017 Jan 18;2017:bcr2016217945. doi: 10.1136/bcr-2016-217945.
A 56-year-old Hispanic male with solo risk factor of uncontrolled diabetes mellitus presented with recurrent haemoptysis. Initial concern was for malignancy with postobstructive pneumonia; however, invasive testing and biopsy confirmed infectious mass of fungal aetiology requiring surgical resection followed by a prolonged course of anti-fungal therapy. Discussion centred on approach to, progression of and course of action in the management of pulmonary abscess due to mucormycosis.
一名56岁的西班牙裔男性，仅有未得到控制的糖尿病这一风险因素，出现反复咯血症状。最初怀疑是恶性肿瘤伴阻塞性肺炎；然而，侵入性检查和活检证实为真菌病因的感染性肿块，需要手术切除，随后进行长期抗真菌治疗。讨论集中在毛霉菌病所致肺脓肿的处理方法、病情进展及治疗措施。
