一名肾移植受者的慢性进行性播散性组织胞浆菌病
Chronic progressive disseminated histoplasmosis in a renal transplant recipient.
作者信息
Tanveer Farah, Younas Mariam, Johnson Leonard B
机构信息
Division of Infectious Disease, Department of Internal Medicine, St. John Hospital and Medical Center, 19251 Mack Avenue, Suite 340, Detroit 48236, MI, United States of America.
Wayne State University School of Medicine, Detroit 48202, MI, United States of America.
出版信息
Med Mycol Case Rep. 2018 Dec 21;23:53-54. doi: 10.1016/j.mmcr.2018.12.006. eCollection 2019 Mar.
Abstract
Hematopoietic and solid organ transplant recipients are at increased risk of opportunistic infections and infections usually are severe due to impaired cell mediated immunity. We report an unusual case of disseminated histoplasmosis in a renal transplant recipient manifesting with a chronic progressive course over several years. After starting treatment with itraconazole, the patient showed marked improvement in his symptoms and had clinical resolution.
摘要
造血及实体器官移植受者发生机会性感染的风险增加，且由于细胞介导免疫受损，感染通常较为严重。我们报告了一例肾移植受者播散性组织胞浆菌病的罕见病例，该病例表现为数年的慢性进展病程。开始使用伊曲康唑治疗后，患者症状明显改善并获得临床缓解。
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