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非结核性肺空洞中的曲菌球:不必惊慌。

Aspergilloma in Non-tuberculous Cavities in the Lung: Not to Get Startled.

作者信息

Pavirala Sai Tej, Rao S Anusha, Sahu Gaurav, Khurana Alkesh, Goyal Abhishek

机构信息

Pulmonary and Critical Care Medicine, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.

出版信息

Cureus. 2022 Aug 11;14(8):e27905. doi: 10.7759/cureus.27905. eCollection 2022 Aug.

DOI:10.7759/cureus.27905
PMID:36110440
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9464319/
Abstract

Aspergillus which is normally found as a colonizer in healthy individuals can manifest in various forms in patients with diseased lung or immunocompromised status. Aspergilloma is one such manifestation whereby the fungus makes its way into preexisting cavities in the lung, the most common underlying etiology being old tuberculous cavities, especially in countries with high TB prevalence. However, we hereby report two cases of Aspergillus infestation as aspergilloma in cavities because of extremely rare causes, namely pulmonary thromboembolism and idiopathic pulmonary fibrosis, respectively.

摘要

曲霉菌通常在健康个体中作为定植菌存在,但在肺部疾病患者或免疫功能低下的患者中可表现为多种形式。曲菌球就是其中一种表现形式,即真菌进入肺部已有的空洞,最常见的潜在病因是陈旧性结核空洞,尤其是在结核病高发国家。然而,我们在此报告两例曲霉菌感染导致曲菌球形成的病例,其病因极为罕见,分别为肺血栓栓塞症和特发性肺纤维化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83e8/9464319/7664c17fdf50/cureus-0014-00000027905-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83e8/9464319/41d881480b24/cureus-0014-00000027905-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83e8/9464319/7664c17fdf50/cureus-0014-00000027905-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83e8/9464319/41d881480b24/cureus-0014-00000027905-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83e8/9464319/7664c17fdf50/cureus-0014-00000027905-i02.jpg

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Aspergilloma coexisting with idiopathic pulmonary fibrosis: a rare occurrence.
曲霉菌球合并特发性肺纤维化:一种罕见情况。
J Postgrad Med. 2013 Apr-Jun;59(2):145-8. doi: 10.4103/0022-3859.113841.
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