血糖控制不佳的糖尿病患者发生的腔内型肺隐球菌瘤
Intra-cavitary pulmonary cryptococcoma in poorly controlled diabetes mellitus.
作者信息
Kalyango Najibu, Kwizera Richard, Baluku Joseph B, Bongomin Felix
机构信息
Department of Medicine, College of Health Sciences, Makerere University, Kampala, P.o.Box, 7072, Uganda.
Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, P.o.Box, 7072, Uganda.
出版信息
Med Mycol Case Rep. 2020 Feb 24;28:1-3. doi: 10.1016/j.mmcr.2020.02.005. eCollection 2020 Jun.
A 59-year-old HIV-negative Ugandan man presented with a long-standing history of respiratory symptoms and was found to have an intra-cavitary pulmonary cryptococoma by chest imaging and sputum culture. The serum cryptococcal antigen was negative. The sputum Xpert® MTB RIF Ultra assay was negative. He was previously treated for cavitary pulmonary tuberculosis. The patient had poorly controlled diabetes (HbA1c, 9.3%). The patient was successfully treated with oral fluconazole.
一名59岁的HIV阴性乌干达男子，有长期呼吸道症状病史，经胸部影像学检查和痰培养发现患有腔内肺隐球菌瘤。血清隐球菌抗原为阴性。痰Xpert® MTB RIF Ultra检测为阴性。他曾接受过空洞型肺结核治疗。该患者糖尿病控制不佳（糖化血红蛋白，9.3%）。该患者接受口服氟康唑治疗成功。
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