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一名慢性肺病患者发生罕见的曲霉、疱疹和类圆线虫三重感染：病例报告及文献综述

An unusual Aspergillus, herpes and strongyloides triple infection in a patient with chronic pulmonary disease: A case report with literature review.

作者信息

Lertsburapa Terakeith, Ren Rongqin, Shen Rulong

机构信息

The Ohio State University Wexner Medical Center, Department of Pathology, S305C Rhodes Hall, 410 W. 10th Ave Ave, Columbus, OH, 43210, USA.

出版信息

Respir Med Case Rep. 2021 Jan 13;32:101330. doi: 10.1016/j.rmcr.2020.101330. eCollection 2021.

DOI:10.1016/j.rmcr.2020.101330
PMID:33552891
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7851175/
Abstract

We report a case of a 75 year old non-known cancer or organ transplant male with an unusual concurrent triple infection of Aspergillus, strongyloides stercoralis and herpes simplex virus in a bronchoalveolar lavage. He presented to an outside hospital with worsening respiratory distress and an open tracheostomy was performed due to concern he would not extubate. Following tracheostomy, there was concern for a possible esophageal perforation. A bronchoalveolar lavage (BAL) were performed and Strongyloides, herpes viral cytopathic changes and aspergillus microorganisms were identified. The patient subsequently expired following discharge.

摘要

我们报告了一例75岁男性患者，既往情况不明，无癌症或器官移植史，在支气管肺泡灌洗中出现罕见的曲霉菌、粪类圆线虫和单纯疱疹病毒三重感染。他因呼吸窘迫加重前往外院就诊，因担心无法脱机而进行了气管切开术。气管切开术后，怀疑可能存在食管穿孔。进行了支气管肺泡灌洗（BAL），发现了粪类圆线虫、疱疹病毒细胞病变改变和曲霉菌微生物。患者随后在出院后死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ca9/7851175/26b6ac7c4acd/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ca9/7851175/02de261a1690/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ca9/7851175/d81fc709d239/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ca9/7851175/cd493917b591/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ca9/7851175/26b6ac7c4acd/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ca9/7851175/02de261a1690/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ca9/7851175/d81fc709d239/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ca9/7851175/cd493917b591/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ca9/7851175/26b6ac7c4acd/gr4.jpg

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本文引用的文献

1
Clinico-epidemiological spectrum of strongyloidiasis in India: Review of 166 cases.印度类圆线虫病的临床流行病学特征：166例病例回顾
J Family Med Prim Care. 2020 Feb 28;9(2):485-491. doi: 10.4103/jfmpc.jfmpc_1182_19. eCollection 2020 Feb.
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Hemoptysis in the Immunocompromised Patient: Do Not Forget Strongyloidiasis.免疫功能低下患者的咯血：不要忘记类圆线虫病。
Trop Med Infect Dis. 2019 Feb 12;4(1):35. doi: 10.3390/tropicalmed4010035.
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A Fatal Strongyloides Stercoralis Hyperinfection Syndrome in a Patient With Chronic kidney Disease: A Case Report and Literature Review.
一例慢性肾脏病患者的致命性粪类圆线虫高度感染综合征：病例报告及文献综述
Medicine (Baltimore). 2016 May;95(19):e3638. doi: 10.1097/MD.0000000000003638.
4
Coinfection of Strongyloides stercoralis and Aspergillus found in bronchoalveolar lavage fluid from a patient with stubborn pulmonary symptoms.在一名有顽固肺部症状患者的支气管肺泡灌洗 fluid 中发现粪类圆线虫和曲霉的混合感染。 （注：原文中“fluid”未明确具体是什么液体，这里保留英文未翻译，可根据实际情况补充准确中文，比如“液体”“洗液”等）
J Thorac Dis. 2015 Mar;7(3):E43-6. doi: 10.3978/j.issn.2072-1439.2014.10.26.
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A case report of pulmonary coinfection of Strongyloides stercoralis and Pneumocystis jiroveci.一例粪类圆线虫和耶氏肺孢子菌肺部混合感染的病例报告。
Asian Pac J Trop Biomed. 2011 Aug;1(4):334-6. doi: 10.1016/S2221-1691(11)60056-7.
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Strongyloides stercoralis hyperinfection syndrome and disseminated disease.粪类圆线虫超感染综合征及播散性疾病
Gastroenterol Hepatol (N Y). 2011 Nov;7(11):766-8.
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[Allergic bronchopulmonary aspergillosis associated with strongyloidiasis].
Rev Med Liege. 2008 Jul-Aug;63(7-8):469-73.
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Pulmonary hyperinfection syndrome with Strongyloides stercoralis.
Am J Med. 2001 Aug;111(2):167-9. doi: 10.1016/s0002-9343(01)00708-2.
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Disseminated Strongyloides stercoralis and Aspergillus fumigatus presenting as diffuse interstitial pneumonitis in a steroid-dependent chronic obstructive pulmonary disease patient.播散性粪类圆线虫和烟曲霉感染表现为弥漫性间质性肺炎，见于一名依赖类固醇的慢性阻塞性肺疾病患者。
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