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侵袭性曲霉菌病合并心包炎一例:手术在多模式治疗中的作用

A Case of Pericarditis in the Setting of Invasive Aspergillosis: The Role of Surgery in a Multi-modal Treatment.

作者信息

Guimaron Samantha, Gervais Philippe, Voisine Pierre

机构信息

Department of Cardiac Surgery, Quebec Heart and Lung Institute, Quebec, Quebec, Canada.

Department of Infectious Diseases, Quebec Heart and Lung Institute, Quebec, Quebec, Canada.

出版信息

CJC Open. 2022 Apr 14;4(7):663-666. doi: 10.1016/j.cjco.2022.04.001. eCollection 2022 Jul.

Abstract

We report the case of an immunocompromised patient admitted for chest pain secondary to pericardial effusion. Pericardiocentesis liquid analysis revealed an pericarditis. Advanced multimodality imaging later revealed invasive aspergillosis. The patient was treated with pericardectomy and long-term antifungal therapy. Novel teaching points are as follows: Pericardectomy is an efficient treatment for pericarditis. Disease control can be obtained without local relapse with pericardectomy and long-term antifungal therapy.

摘要

我们报告了一例免疫功能低下患者,因心包积液继发胸痛入院。心包穿刺液分析显示为心包炎。随后的高级多模态成像显示为侵袭性曲霉菌病。该患者接受了心包切除术和长期抗真菌治疗。新的教学要点如下:心包切除术是治疗心包炎的有效方法。通过心包切除术和长期抗真菌治疗可实现疾病控制且无局部复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2471/9294975/62051abf18a9/gr1.jpg

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