Kozyk Marko, Strubchevska Kateryna, Szela John
Internal Medicine, Beaumont Hospital, Royal Oak, USA.
Infectious Disease, Beaumont Hospital, Royal Oak, USA.
Cureus. 2023 May 30;15(5):e39744. doi: 10.7759/cureus.39744. eCollection 2023 May.
Histoplasmosis, also known as "Darling's disease," is caused by the dimorphic fungus which is distributed all over the world but is more common in Northern America. In this paper, we present the case of an adult patient with decompensated liver cirrhosis who had positive antigen test results for and . Disseminated histoplasmosis was confirmed by means of additional antibody testing in a patient with septic shock complicated by multiorgan failure and duodenal perforation. A high index of suspicion is required for the detection of disseminated histoplasmosis.
组织胞浆菌病,也被称为“达林病”,由双相真菌引起,该真菌遍布全球,但在北美洲更为常见。在本文中,我们报告了一例失代偿期肝硬化成年患者,其 和 的抗原检测结果呈阳性。一名并发感染性休克、多器官功能衰竭和十二指肠穿孔的患者,通过额外的抗体检测确诊为播散性组织胞浆菌病。对于播散性组织胞浆菌病的检测,需要高度的怀疑指数。