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一例免疫功能正常患者发生胃毛霉病的罕见病例。

A rare case of gastric mucormycosis in an immunocompetent patient.

作者信息

Abreu Bruno Fernandes Barros Brehme de, Duarte Márcio Luís, Santos Lucas Ribeiro Dos, Sementilli Angelo, Figueiras Felipe Nunes

机构信息

Radiologia, WEBIMAGEM, São Paulo, SP, Brasil.

Endocrinologia, Faculdade de Ciências Médicas de Santos, Santos, SP, Brasil.

出版信息

Rev Soc Bras Med Trop. 2018 May-Jun;51(3):401-402. doi: 10.1590/0037-8682-0304-2017.

Abstract

We report the case of a 23-year-old immunocompetent patient who presented at the emergency department of a Brazilian hospital with epigastric pain and fever. After an investigation that included a computed tomography scan and upper gastrointestinal endoscopy with biopsy, a diagnosis of mucormycosis was established. The patient exhibited favorable progress after surgery and antifungal therapy. Mucormycosis is a rare condition that usually affects immunocompromised patients, with a high mortality rate of up to 85%. Correct diagnosis and fast initiation of therapy are required to ensure improved patient prognosis.

摘要

我们报告了一例23岁免疫功能正常的患者,该患者因上腹部疼痛和发热前往巴西一家医院的急诊科就诊。经过包括计算机断层扫描和上消化道内镜活检在内的检查,确诊为毛霉菌病。该患者在手术后和抗真菌治疗后病情好转。毛霉菌病是一种罕见疾病,通常影响免疫功能低下的患者,死亡率高达85%。需要正确诊断并迅速开始治疗,以确保改善患者预后。

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