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曲菌球叠加感染于淋巴间质性肺炎

Aspergilloma Superimposed Infection on Lymphoid Interstitial Pneumonia.

作者信息

Tran Daniel, Rengan Rajagopalan, Lee James, Lucerna Alan, Espinosa James

机构信息

Department of Internal Medicine, Rowan University SOM/Jefferson-Stratford, Stratford, NJ, USA.

Department of Emergency Medicine, Rowan University SOM/Jefferson-Stratford, Stratford, NJ, USA.

出版信息

Case Rep Emerg Med. 2020 Jan 18;2020:3151036. doi: 10.1155/2020/3151036. eCollection 2020.

DOI:10.1155/2020/3151036
PMID:32082646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6995327/
Abstract

We describe a case of a 27-year-old female without any prior underlying immunodeficiency syndromes who presented with hemoptysis secondary to subacute invasive pulmonary aspergillosis and subsequently diagnosed with lymphoid interstitial pneumonia (LIP). CT chest demonstrated bilateral interstitial disease with patchy opacities and multiple large cysts and bullae. Diagnosis was confirmed histologically after surgical lung resection of the mycetoma containing cavitation. Therefore, LIP should be suspected in patients presenting with opportunistic infections in the setting of cystic lung disease.

摘要

我们描述了一例27岁女性患者，她既往无任何潜在免疫缺陷综合征，因亚急性侵袭性肺曲霉病继发咯血就诊，随后被诊断为淋巴间质性肺炎（LIP）。胸部CT显示双侧间质性病变，伴有斑片状模糊影以及多个大囊肿和肺大疱。在对含有空洞的真菌球进行手术肺切除后，组织学检查确诊了该病。因此，对于患有囊性肺病并出现机会性感染的患者，应怀疑患有LIP。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7e0/6995327/444b5807c7c2/CRIEM2020-3151036.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7e0/6995327/18bc930202a0/CRIEM2020-3151036.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7e0/6995327/6b112ec04e1c/CRIEM2020-3151036.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7e0/6995327/3c4a6771374d/CRIEM2020-3151036.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7e0/6995327/1e4bb59d5c86/CRIEM2020-3151036.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7e0/6995327/444b5807c7c2/CRIEM2020-3151036.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7e0/6995327/18bc930202a0/CRIEM2020-3151036.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7e0/6995327/6b112ec04e1c/CRIEM2020-3151036.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7e0/6995327/3c4a6771374d/CRIEM2020-3151036.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7e0/6995327/1e4bb59d5c86/CRIEM2020-3151036.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7e0/6995327/444b5807c7c2/CRIEM2020-3151036.005.jpg

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本文引用的文献

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Lymphoid Interstitial Pneumonia in Common Variable Immune Deficiency - Case Report With Disease Monitoring in Various Therapeutic Options: Pleiotropic Effects of Rituximab Regimens.普通可变免疫缺陷中的淋巴间质性肺炎——不同治疗方案下疾病监测的病例报告：利妥昔单抗方案的多效性作用
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Lymphocytic Interstitial Pneumonia.
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