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副球孢子菌病所致急性肾上腺功能不全。2例报告。

Acute adrenal insufficiency due to paracoccidiodomycosis. Report of 2 cases.

作者信息

Motta Juan Camilo, Barrera Edgar Camilo

机构信息

Internal Medicine Resident, Universidad del Rosario, Bogotá, Colombia.

Department of Internal Medicine, Fundación Cardioinfantil, Bogota, Colombia.

出版信息

Med Mycol Case Rep. 2020 Aug 13;30:1-4. doi: 10.1016/j.mmcr.2020.08.001. eCollection 2020 Dec.

DOI:10.1016/j.mmcr.2020.08.001
PMID:32874849
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7452247/
Abstract

Paracoccidiodomycosis s is an endemic infection in Latin America. It can affect several organs, but systemic involvement is rare, especially when the adrenal glands and the central nervous system are affected. We describe two cases of paracoccidiodomycosis presenting with Addison's disease, one of which also presented with a pseudotumor cerebri. The diagnosis of paracoccidiodomycosis was confirmed in both cases with histopathological studies. Antifungal management and hormone supplementation were given, achieving complete resolution of symptoms. 2012 Elsevier Ltd. All rights reserved.

摘要

副球孢子菌病是拉丁美洲的一种地方性感染病。它可累及多个器官，但全身受累情况罕见，尤其是肾上腺和中枢神经系统受累时。我们描述了两例表现为艾迪生病的副球孢子菌病病例，其中一例还伴有脑假瘤。两例均通过组织病理学研究确诊为副球孢子菌病。给予抗真菌治疗和激素补充，症状完全缓解。2012爱思唯尔有限公司。保留所有权利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6bc/7452247/4b626af98d1b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6bc/7452247/9c2e35f2e8bb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6bc/7452247/4bd1a855bf41/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6bc/7452247/8f5c96cb01b2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6bc/7452247/84094205a6f8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6bc/7452247/36db128807bb/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6bc/7452247/4b626af98d1b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6bc/7452247/9c2e35f2e8bb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6bc/7452247/4bd1a855bf41/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6bc/7452247/8f5c96cb01b2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6bc/7452247/84094205a6f8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6bc/7452247/36db128807bb/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6bc/7452247/4b626af98d1b/gr6.jpg

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New Trends in Paracoccidioidomycosis Epidemiology.副球孢子菌病流行病学的新趋势
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Acute Paracoccidioidomycosis in a 40-Year-Old Man: A Case Report and Literature Review.四十岁男性急性副球孢子菌病：病例报告及文献复习。
Mycopathologia. 2017 Dec;182(11-12):1095-1099. doi: 10.1007/s11046-017-0196-7. Epub 2017 Sep 12.
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Brazilian guidelines for the clinical management of paracoccidioidomycosis.巴西副球孢子菌病临床管理指南。
Rev Soc Bras Med Trop. 2017 Sep-Oct;50(5):715-740. doi: 10.1590/0037-8682-0230-2017. Epub 2017 Jul 12.
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Species boundaries in the human pathogen Paracoccidioides.人类病原体副球孢子菌的物种界限。
Fungal Genet Biol. 2017 Sep;106:9-25. doi: 10.1016/j.fgb.2017.05.007. Epub 2017 Jun 9.
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Diagnosis and Treatment of Primary Adrenal Insufficiency: An Endocrine Society Clinical Practice Guideline.原发性肾上腺皮质功能减退症的诊断与治疗：内分泌学会临床实践指南
J Clin Endocrinol Metab. 2016 Feb;101(2):364-89. doi: 10.1210/jc.2015-1710. Epub 2016 Jan 13.
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EPIDEMIOLOGY OF PARACOCCIDIOIDOMYCOSIS.副球孢子菌病的流行病学
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