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致命性暴发性隐球菌血症并发结节病:这是可以预料到的吗?

Fatal fulminant cryptococcemia complicating sarcoidosis: Is it to be expected?

作者信息

Posteraro Patrizia, Vacca Katia, Celi Massimiliano, De Angelis Giulia, Vella Antonietta, Sanguinetti Maurizio, Posteraro Brunella

机构信息

GVM Ospedale San Carlo di Nancy, Laboratorio di Analisi Cliniche e Microbiologiche, Via Aurelia 275, 00165 Rome, Italy.

GVM Ospedale San Carlo di Nancy, Unità di Medicina, Via Aurelia 275, 00165 Rome, Italy.

出版信息

Med Mycol Case Rep. 2018 Aug 16;22:42-44. doi: 10.1016/j.mmcr.2018.08.006. eCollection 2018 Dec.

Abstract

Cryptococcosis may be a life-threatening complication of sarcoidosis. We describe a case of cryptococcemia that rapidly progressed toward fatality without apparent other sites of infection. We discuss on the importance of serum cryptococcal polysaccharide antigen testing for identifying at-risk patients who might benefit from timely diagnosis and treatment of cryptococcosis.

摘要

隐球菌病可能是结节病的一种危及生命的并发症。我们描述了一例隐球菌血症病例,该病例迅速发展至死亡,且无明显的其他感染部位。我们讨论了血清隐球菌多糖抗原检测对于识别可能从隐球菌病的及时诊断和治疗中获益的高危患者的重要性。

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