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成人胃石症:确定最佳治疗方案

Bezoars in Adults: Determining Optimal Management.

作者信息

Rohloff Matthew A, Shakuri-Rad Jaschar, Dehaan Alexander P

机构信息

Metro Health Hospital-University of Michigan Health, Wyoming, Michigan.

出版信息

J Endourol Case Rep. 2017 Apr 1;3(1):45-48. doi: 10.1089/cren.2017.0021. eCollection 2017.

DOI:10.1089/cren.2017.0021
PMID:28466076
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5399739/
Abstract

Fungal bezoars, or fungal balls, are rare pathologic consequences of funguria in immunocompromised patients. Current treatment recommendations are based on expert opinion and low level evidence. We present a case of a bezoar that was effectively treated with percutaneous amphotericin B instillations. A subsequent literature review is presented to assess the available case reports and treatment outcomes of spp. bezoars in adults.

摘要

真菌性粪石,即真菌球,是免疫功能低下患者真菌尿症罕见的病理后果。目前的治疗建议基于专家意见和低水平证据。我们报告一例经皮注射两性霉素B有效治疗的粪石病例。随后进行文献综述,以评估成人粪石病例报告及治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d18/5399739/ebd247f8094f/fig-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d18/5399739/bf11ddc4ffd9/fig-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d18/5399739/b40199f5aa8c/fig-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d18/5399739/ebd247f8094f/fig-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d18/5399739/bf11ddc4ffd9/fig-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d18/5399739/b40199f5aa8c/fig-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d18/5399739/ebd247f8094f/fig-3.jpg

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1
Bezoars in Adults: Determining Optimal Management.成人胃石症:确定最佳治疗方案
J Endourol Case Rep. 2017 Apr 1;3(1):45-48. doi: 10.1089/cren.2017.0021. eCollection 2017.
2
Fungaemia caused by obstructive renal candida bezoars leads to bilateral chorioretinitis: a case report.梗阻性肾念珠菌粪石引起的真菌血症导致双侧脉络膜视网膜炎:一例报告
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Use of a mechanical thrombectomy catheter for percutaneous extraction of renal fungal bezoars in a premature infant.在一名早产儿中使用机械血栓切除术导管经皮取出肾真菌团块。
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Percutaneous nephrostomy for nonoperative management of fungal urinary tract infections.经皮肾造瘘术用于真菌性尿路感染的非手术治疗
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Therapeutic approach to Candida bezoar in children.儿童念珠菌粪石的治疗方法。
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[The results of treatment of newborns with postrenal anuria due to upper urinary tract obstruction, caused by fungal bezoar].
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引用本文的文献

1
Unilateral renal fungus ball caused by .由……引起的单侧肾真菌球
Med Mycol Case Rep. 2024 Apr 14;44:100649. doi: 10.1016/j.mmcr.2024.100649. eCollection 2024 Jun.
2
Multi-route antifungal administration in the management of urinary bezoar.多途径抗真菌治疗在泌尿生殖道粪石管理中的应用
Urol Case Rep. 2020 May 23;33:101275. doi: 10.1016/j.eucr.2020.101275. eCollection 2020 Nov.
3
Renal Fungal Balls - The Importance of Radiological Findings.肾真菌球——影像学表现的重要性

本文引用的文献

1
Renal fungal ball-two case reports and review of literature.肾真菌球——两例病例报告及文献综述
BJR Case Rep. 2016 May 8;2(3):20150247. doi: 10.1259/bjrcr.20150247. eCollection 2016.
2
Management of a renal fungal bezoar caused by multidrug-resistant .耐多药引起的肾真菌粪石的管理
Proc (Bayl Univ Med Cent). 2016 Oct;29(4):416-417. doi: 10.1080/08998280.2016.11929493.
3
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》
Rev Soc Bras Med Trop. 2020 Mar 16;53:e20190558. doi: 10.1590/0037-8682-0558-2019. eCollection 2020.
4
Fungal Bezoars Mimicking an Enterovesica Fistula: A Unique Case Report.模仿膀胱肠瘘的真菌性粪石:一例独特病例报告
Curr Urol. 2019 Oct;13(2):107-109. doi: 10.1159/000499284. Epub 2019 Oct 1.
Clin Infect Dis. 2016 Feb 15;62(4):e1-50. doi: 10.1093/cid/civ933. Epub 2015 Dec 16.
4
A case of Candida albicans fungus balls in the urinary tract appeared during the course of antifungal treatment for Candida endophthalmitis.1例白色念珠菌性眼内炎在抗真菌治疗过程中出现了泌尿道念珠菌真菌球。
J Infect Chemother. 2015 Sep;21(9):687-90. doi: 10.1016/j.jiac.2015.04.009. Epub 2015 May 8.
5
Fungus ball in the urinary tract: A rare entity.泌尿道真菌球:一种罕见的病症。
Can Urol Assoc J. 2014 Jan-Feb;8(1-2):E118-20. doi: 10.5489/cuaj.1254.
6
Candiduria.念珠菌尿症
Clin Infect Dis. 2005 Sep 15;41 Suppl 6:S371-6. doi: 10.1086/430918.
7
Prospective multicenter surveillance study of funguria in hospitalized patients. The National Institute for Allergy and Infectious Diseases (NIAID) Mycoses Study Group.住院患者真菌尿症的前瞻性多中心监测研究。美国国立过敏与传染病研究所(NIAID)真菌病研究小组。
Clin Infect Dis. 2000 Jan;30(1):14-8. doi: 10.1086/313583.
8
Localized renal pelvic fungal ball in a patient undergoing bone marrow transplantation.一名接受骨髓移植患者的局限性肾盂真菌球。
Acta Haematol. 1993;89(3):160-2. doi: 10.1159/000204511.
9
Roentgenographic features of primary renal candidiasis. Fungus ball of the renal pelvis and ureter.
Am J Roentgenol Radium Ther Nucl Med. 1973 Dec;119(4):731-8. doi: 10.2214/ajr.119.4.731.
10
Anuria secondary to mechanical obstruction caused by a Candida fungus ball.念珠菌真菌球导致机械性梗阻继发的无尿。
J Urol. 1973 Jun;109(6):938-40. doi: 10.1016/s0022-5347(17)60586-x.