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球形枝孢菌作为肺炎的罕见病因

Cladosporium sphaerospermum as a Rare Cause of Pneumonia.

作者信息

Villanueva Diana M, Venkatesan Bhuvaneshwari, Figueroa Nilka

机构信息

Department of Internal Medicine, Coney Island Hospital, Brooklyn, USA.

Department of Infectious Diseases, Coney Island Hospital, Brooklyn, USA.

出版信息

Cureus. 2022 Jun 23;14(6):e26256. doi: 10.7759/cureus.26256. eCollection 2022 Jun.

Abstract

isa radiotrophic dematiaceous fungus that can rarely cause disease in humans such as infections of the skin, eye, upper airways, and brain. To the best of our knowledge, we present the first reported case of -induced invasive lung infection. This case presents a 51-year-old male with a medical history significant for heavy smoking and severe alcohol abuse who was admitted for acute hypoxic respiratory failure secondary to a large exudative right pleural effusion compounded by hydropneumothorax. Despite an initial positive clinical response, appropriate medical treatment, and eradication of the infection, which was confirmed by repeat negative culture studies, the patient had a complicated hospital course. It is suspected that the patient's medical history played a role in the acquisition of the infection as smoking and alcohol use are known risk factors for aspiration of pathogens into the pulmonary tract. We believe it is important to bring to attention this less known organism as a potential differential diagnosis for a complicated lung infection.

摘要

是一种放射性营养的暗色真菌,很少能引起人类疾病,如皮肤、眼睛、上呼吸道和脑部感染。据我们所知,我们报告了首例由[具体内容缺失]引起的侵袭性肺部感染病例。该病例为一名51岁男性,有大量吸烟和严重酗酒病史,因大量渗出性右侧胸腔积液合并液气胸继发急性缺氧性呼吸衰竭入院。尽管最初临床反应良好,接受了适当的药物治疗且感染已根除(重复培养研究证实为阴性),但患者的住院过程仍很复杂。怀疑患者的病史在感染的获得中起了作用,因为吸烟和饮酒是已知的病原体吸入呼吸道的危险因素。我们认为,提请注意这种鲜为人知的生物体作为复杂肺部感染的潜在鉴别诊断很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/468a/9308497/8c63f446ac28/cureus-0014-00000026256-i01.jpg

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