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中心静脉导管所致脓毒性肺栓塞的抗真菌治疗持续时间：一例报告

Duration of antifungal therapy for septic pulmonary embolism caused by from a central venous catheter: A case report.

作者信息

Okuno Daisuke, Oshima Kazuhiro, Miyazaki Taiga, Ashizawa Nobuyuki, Hirayama Tatsuro, Takazono Takahiro, Saijo Tomomi, Yamamoto Kazuko, Imamura Yoshifumi, Yamaguchi Hiroyuki, Sakamoto Noriho, Obase Yasushi, Izumikawa Koichi, Yanagihara Katsunori, Mukae Hiroshi

机构信息

Department of Respiratory Medicine Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan.

Department of Respiratory Medicine Nagasaki University Hospital Nagasaki Japan.

出版信息

Clin Case Rep. 2020 Dec 4;9(2):707-710. doi: 10.1002/ccr3.3628. eCollection 2021 Feb.

DOI:10.1002/ccr3.3628
PMID:33598229
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7869368/
Abstract

The treatment duration for candidemia with septic pulmonary embolism should be determined based on the clearance of fungus from the bloodstream and improvement of symptoms. The remaining lung nodules may not necessarily indicate persistent infection.

摘要

念珠菌血症合并脓毒性肺栓塞的治疗疗程应根据血液中真菌清除情况及症状改善来确定。残留的肺结节不一定表明存在持续感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba84/7869368/0a8f7c8a91a7/CCR3-9-707-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba84/7869368/061ddb9b32ba/CCR3-9-707-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba84/7869368/0a8f7c8a91a7/CCR3-9-707-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba84/7869368/061ddb9b32ba/CCR3-9-707-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba84/7869368/0a8f7c8a91a7/CCR3-9-707-g002.jpg

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本文引用的文献

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BMC Infect Dis. 2019 Dec 27;19(1):1082. doi: 10.1186/s12879-019-4672-1.
2
T2 Candida versus beta-D-glucan to facilitate antifungal discontinuation in the intensive care unit.T2 念珠菌与β-D-葡聚糖辅助 ICU 患者停用抗真菌药物。
Diagn Microbiol Infect Dis. 2019 Oct;95(2):162-165. doi: 10.1016/j.diagmicrobio.2019.04.016. Epub 2019 May 7.
3
Appropriate Duration of Intravenous Treatment of Candidemia and Timing of Step Down to Oral Therapy in Non-neutropenic Patients.
非中性粒细胞减少患者念珠菌血症静脉治疗的适宜疗程及降阶梯至口服治疗的时机
Mediterr J Hematol Infect Dis. 2018 May 1;10(1):e2018028. doi: 10.4084/MJHID.2018.028. eCollection 2018.
4
Invasive candidiasis.侵袭性念珠菌病。
Nat Rev Dis Primers. 2018 May 11;4:18026. doi: 10.1038/nrdp.2018.26.
5
Evaluation of candidemia in epidemiology and risk factors among cancer patients in a cancer center of China: an 8-year case-control study.中国某癌症中心癌症患者念珠菌血症的流行病学及危险因素评估：一项为期8年的病例对照研究
BMC Infect Dis. 2017 Aug 3;17(1):536. doi: 10.1186/s12879-017-2636-x.
6
Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America.《念珠菌病管理临床实践指南：美国传染病学会2016年更新版》
Clin Infect Dis. 2016 Feb 15;62(4):e1-50. doi: 10.1093/cid/civ933. Epub 2015 Dec 16.
7
Invasive Candidiasis.侵袭性念珠菌病
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Clinical characteristics of septic pulmonary embolism in adults: a systematic review.成人感染性肺栓塞的临床特征：一项系统评价
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