Weisman I M, Moreno A J, Parker A L, Sippo W C, Liles W J
Am J Gastroenterol. 1986 Jul;81(7):589-93.
An unusual case of extensive gastrointestinal involvement by the fungus Coccidioides immitis is reported in a 21-yr-old man. This unique case demonstrates the occurrence of this fungus within chylous ascites, the mesentery, and invasion of the entire length of the small bowel. Histological and cultural documentation for gastrointestinal tract involvement by C. immitis other than for the rare occurrence of peritonitis has not been previously reported. The significance of the disseminated gastrointestinal coccidioidomycosis in the setting of chylous ascites and extensive abdominal lymphatic involvement is discussed with respect to its pathogenesis and treatment.
报告了一例罕见的球孢子菌广泛累及胃肠道的病例，患者为一名21岁男性。这一独特病例显示该真菌存在于乳糜性腹水中、肠系膜中，并侵袭了小肠全长。此前尚未有除罕见的腹膜炎外球孢子菌累及胃肠道的组织学和培养记录报告。本文就其发病机制和治疗方法，探讨了在乳糜性腹水和广泛腹部淋巴管受累情况下播散性胃肠道球孢子菌病的意义。
