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非获得性免疫缺陷综合征患者的播散性感染复发:一例报告

Disseminated infection recurrence in a non-acquired immune deficiency syndrome patient: A case report.

作者信息

Zhang Zhixue, Tao Fangxu, Li Yining, Xiao Yudong, Zhang Zhishu, Liu Jun

机构信息

Department of Radiology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410000, P.R. China.

出版信息

Mol Clin Oncol. 2016 Dec;5(6):829-831. doi: 10.3892/mco.2016.1038. Epub 2016 Sep 27.

Abstract

is a rare deep tissue fungal infection causing an endemic in Southeast Asia. This infection causes penicilliosis disease and is more common in patients who are immunocompromised. To date, no cases of infection relapse following treatment have been reported. A 36-year-old patient attended our hospital as a result of intermittent fever, cough, shortness of breath and multiple soft lesions located on the face, arms, neck and trunk. The medical radiological examination of the lung revealed multiple patchy exudative shadows, thick-walled hollow inner part of the visible lesions, bilateral pleural and pericardial effusion. Assessing the skull and right collarbone, bilateral thoracic ribs and a plurality revealed numeorus lesions with reduced bone destruction and revealed that the patient was positive for infection. After 6 months of antifungal therapy, pulmonary symptoms and the surface lesions of the patient rapidly disappearance and the physical condition markedly improved. The patient did not attend a follow-up and stopped antifungal treatment. In February 2016, the patient presented with left breast and subcutaneous soft tissue mass of the head and neck. Fungal culture results revealed that the patient was again positive for infection. The present case suggested that clinical doctors and patients must pay more attention to regular treatment of the disseminated . It also highlighted the requirement for awareness of penicilliosis in non-acquired immune deficiency syndrome patients, who are not immunocompromised, who are living in or traveling to -endemic areas.

摘要

是一种罕见的深部组织真菌感染,在东南亚呈地方流行。这种感染会引发青霉病,在免疫功能低下的患者中更为常见。迄今为止,尚未有治疗后感染复发的病例报告。一名36岁患者因间歇性发热、咳嗽、呼吸急促以及面部、手臂、颈部和躯干出现多处软组织病变前来我院就诊。肺部的医学放射检查显示有多处斑片状渗出阴影,可见病变的厚壁空洞内部,双侧胸腔和心包积液。对头骨和右锁骨、双侧胸廓肋骨进行评估,发现多处病变伴有骨质破坏减少,且该患者感染检测呈阳性。经过6个月的抗真菌治疗,患者的肺部症状和体表病变迅速消失,身体状况明显改善。该患者未进行随访并停止了抗真菌治疗。2016年2月,该患者出现左乳房以及头颈部皮下软组织肿块。真菌培养结果显示该患者再次感染检测呈阳性。本病例提示临床医生和患者必须更加重视播散性感染的规范治疗。它还强调了对于非获得性免疫缺陷综合征患者、非免疫功能低下患者、生活在或前往感染流行地区的患者提高对青霉病认识的必要性。

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