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一例罕见的免疫功能正常患者孤立性肺毛霉菌病病例。

A rare case of an immunocompetent patient with isolated pulmonary mucormycosis.

作者信息

Rouientan Hamidreza, Gilani Abolfazl, Sarmadian Roham, Rezaei Zadeh Rukerd Mohammad

机构信息

Urology and Nephrology Research Center, Department of Urology, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.

Department of Pediatric Surgery, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.

出版信息

IDCases. 2023 Feb 28;31:e01726. doi: 10.1016/j.idcr.2023.e01726. eCollection 2023.

DOI:10.1016/j.idcr.2023.e01726
PMID:36923658
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10009052/
Abstract

As one of the most lethal infections caused by fungi, pulmonary mucormycosis usually affects patients who are immunocompromised. Isolated pulmonary mucormycosis in immunocompetent patients is very rare.This report describes a 65-year-old immunocompetent man, who was first treated with antibiotics after being diagnosed with a lung infection, then after the lack of response to treatment, he was diagnosed with mucormycosis in further investigations. Finally, the patient died due to a lack of response to treatment. Despite its rarity, it is important to consider other differential diagnoses such as pulmonary mucormycosis if the pneumonic process does not respond to medical treatment.

摘要

作为最致命的真菌感染之一,肺毛霉病通常影响免疫功能低下的患者。免疫功能正常的患者中孤立性肺毛霉病非常罕见。本报告描述了一名65岁免疫功能正常的男性,他在被诊断为肺部感染后首先接受了抗生素治疗,在治疗无反应后,进一步检查被诊断为毛霉病。最终,患者因治疗无反应而死亡。尽管该病罕见,但如果肺炎病程对药物治疗无反应,考虑其他鉴别诊断如肺毛霉病很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ee2/10009052/57908e8262fc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ee2/10009052/da385bad526e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ee2/10009052/81d5a584d9bb/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ee2/10009052/9fb39c4ee8a9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ee2/10009052/57908e8262fc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ee2/10009052/da385bad526e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ee2/10009052/81d5a584d9bb/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ee2/10009052/9fb39c4ee8a9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ee2/10009052/57908e8262fc/gr4.jpg

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Emerging liver infection of associated with acute respiratory distress syndrome: a case report.新发肝脏感染与急性呼吸窘迫综合征:一例报告
Ann Med Surg (Lond). 2024 Jun 14;86(8):4870-4874. doi: 10.1097/MS9.0000000000002278. eCollection 2024 Aug.
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