Department of Respiratory Medicine, Jinhua Center Hospital, Jinhua, China.
Department of Respiratory Medicine, Jinhua Center Hospital, Jinhua, China.
Int J Infect Dis. 2017 Jun;59:86-89. doi: 10.1016/j.ijid.2017.04.006. Epub 2017 Apr 12.
The current case report presents a 29-year old man who worked as a hotel guard in a city in China. The patient had fever and dry cough before and after hospitalization. Chest X-ray and CT revealed nodular and patchy lesions in both lower lungs. There were no abnormal findings in the examination of sputum and bronchoalveoular lavage fluid (BALF). He was diagnosed with pulmonary blastomycosis by histological examination of lung biopsy and treated with fluconazole. Follow-up chest CT examination demonstrated that the patient was recovered through appropriate antifungal treatment.
本病例报告介绍了一位 29 岁的男性，他在中国的一个城市担任酒店保安。患者在住院前后出现发热和干咳。胸部 X 射线和 CT 显示双下肺结节和斑片状病变。痰液和支气管肺泡灌洗液（BALF）检查无异常发现。通过肺活检的组织学检查诊断为肺球孢子菌病，并使用氟康唑进行治疗。随访胸部 CT 检查显示，患者经适当的抗真菌治疗后已康复。
