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免疫功能正常的患者在包虫囊肿手术后发生慢性坏死性肺曲霉病。

Chronic necrotizing pulmonary aspergillosis in an immunocompetent patient after the surgery of hydatid cyst.

作者信息

Emiralioğlu Nagehan, Özcan Hatice Nursun, Orhan Diclehan, Haliloğlu Mithat, Cengiz Ali Bülent, Yalçın Elmas Ebru, Doğru Ersöz Deniz, Kiper Nural, Özçelik Hayriye Uğur

机构信息

Division of Pediatric Chest Diseases, Faculty of Medicine, Hacettepe University, Children Hospital, Ankara, Turkey.

出版信息

Tuberk Toraks. 2017 Jun;65(2):157-160. doi: 10.5578/tt.13957.

DOI:10.5578/tt.13957
PMID:28990897
Abstract

Chronic necrotizing pulmonary aspergillosis (CNPA) is a condition caused by the ubiquitous fungus Aspergillus fumigatus in non-immunocompromised individuals. Numerous underlying conditions have been associated with CNPA. Tuberculosis, non-tuberculous mycobacterial infection and allergic bronchopulmonary aspergillosis (ABPA) remain the predominant risk factors for development of CNPA. Development of CNPA in echinococcal cyst cavities is very rare and the optimal therapeutic regimen and treatment duration have not been established. Here, we present a case of CNPA developed six years after the cystectomy operation of hydatid cyst and treated with voriconazole successfully.

摘要

慢性坏死性肺曲霉病(CNPA)是一种由普遍存在的烟曲霉在非免疫功能低下个体中引起的疾病。许多潜在疾病与CNPA有关。肺结核、非结核分枝杆菌感染和变应性支气管肺曲霉病(ABPA)仍然是CNPA发生的主要危险因素。棘球蚴囊肿腔内发生CNPA非常罕见,尚未确定最佳治疗方案和治疗疗程。在此,我们报告一例在包虫囊肿切除术后六年发生CNPA并成功用伏立康唑治疗的病例。

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