Department of Respiratory Medicine and Clinical Immunology, Nippon Life Hospital, Japan.
Department of Endocrinology and Metabolic Medicine, Nippon Life Hospital, Japan.
Intern Med. 2023 Dec 15;62(24):3679-3683. doi: 10.2169/internalmedicine.1520-22. Epub 2023 May 10.
A 39-year-old vegan man was admitted with diabetic ketoacidosis. He had also developed pneumonia that was unresponsive to antibiotics. Based on bronchoscopy findings, the diagnosis of Candida pneumonia was made, and the pulmonary shadow disappeared rapidly after antifungal therapy. Candida pneumonia has been mostly reported in severely immunocompromised patients. This is a rare case of Candida pneumonia that was found in a young vegan man with diabetes mellitus (DM). Although malnutrition caused by DM or an unbalanced diet is often underestimated as a cause of immunodeficiency, these conditions can be risk factors for serious opportunistic infections, including Candida pneumonia.
一位 39 岁的纯素主义者男性因糖尿病酮症酸中毒入院。他还患有肺炎，对抗生素治疗无反应。根据支气管镜检查结果，诊断为念珠菌肺炎，抗真菌治疗后肺部阴影迅速消失。念珠菌肺炎主要见于严重免疫功能低下的患者。这是一例罕见的糖尿病患者发生的念珠菌肺炎病例，该患者为年轻的纯素食者。虽然糖尿病引起的营养不良或饮食不均衡通常被低估为免疫缺陷的原因，但这些情况可能成为严重机会性感染的危险因素，包括念珠菌肺炎。
