Grünewald R, Preisler J
Z Erkr Atmungsorgane. 1986;167(1-2):123-9.
Aspergilluspneumonia means a form of pulmonary aspergillus infection invading tissue and accidentally vessels of the lung. Because of lacking of typical clinical and roentgenological signs diagnose finding is realized by evidence of fungi (histology, culture, serology). From 87 aspergilloses 60 could staged as aspergillomas by the x-ray pictures. 27 cases were bronchiectases, carcinomas, bacterial pneumonias with aspergillus or pneumonias without other lung disorders and agents other than aspergillus. The difficulty to ensure the "pure" aspergilluspneumonia (invasive type) is pointed out, when histological proof is lacking. The therapeutical possibilities are discussed.
曲霉性肺炎是指肺曲霉感染的一种形式,可侵袭组织并意外累及肺血管。由于缺乏典型的临床和影像学征象,需通过真菌证据(组织学、培养、血清学)来实现诊断。在87例曲霉病中,60例经X线片分期为曲菌球。27例为支气管扩张、癌症、合并曲霉的细菌性肺炎或无其他肺部疾病及除曲霉外其他病原体的肺炎。文中指出,在缺乏组织学证据时,确诊“单纯”曲霉性肺炎(侵袭型)存在困难。同时还讨论了治疗的可能性。