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一名糖尿病患者因[未提及具体病因]导致坏死性肺炎。病例报告。

Necrotizing pneumonia due to in a patient with diabetes mellitus. Case report.

作者信息

Hernández Solis Alejandro, Rabadan Armenta Saul Javier, Araiza Santibáñez Javier, Bonifaz Alexandro, Serna Valle Fryda Jareth, Mojica Jaimes Eliasib

机构信息

Servicio de Neumología y Cirugía de Tórax, Hospital General de México, "Dr. Eduardo Liceaga", Ciudad de México, Código postal: 06720, Mexico.

Laboratorio de Micología, Hospital General de México, "Dr. Eduardo Liceaga", Ciudad de México, Código postal: 06720, Mexico.

出版信息

Med Mycol Case Rep. 2023 Aug 29;42:100603. doi: 10.1016/j.mmcr.2023.08.006. eCollection 2023 Dec.

DOI:10.1016/j.mmcr.2023.08.006
PMID:37701416
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10494254/
Abstract

is a yeast-like fungus of the Dipodascaceae family, capable of colonizing the skin and the respiratory and gastrointestinal tracts. We present a 56-year-old man with diabetes mellitus who was admitted to the hospital presenting with fever, cough and hemoptysis. The diagnosis of necrotizing pneumonia was made by direct microscopy of the bronchoalveolar lavage fluid showed and was identified by Matrix-Assisted Laser Desorption/Ionization Time-Of-Flight (MALDI-TOF MS®). Treatment consisted of itraconazole 200 mg every 12 hours orally for 30 days, leading to clinical and radiological improvement. infection is a rare cause of pulmonary mycoses.

摘要

是双足囊菌科的一种酵母样真菌,能够定植于皮肤、呼吸道和胃肠道。我们报告一名56岁的糖尿病男性患者,因发热、咳嗽和咯血入院。通过支气管肺泡灌洗液的直接显微镜检查诊断为坏死性肺炎,并通过基质辅助激光解吸/电离飞行时间质谱(MALDI-TOF MS®)进行鉴定。治疗方案为口服伊曲康唑200毫克,每12小时一次,共30天,临床和影像学表现均有改善。感染是肺真菌病的罕见病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95da/10494254/8675001b2bc3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95da/10494254/26333963c334/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95da/10494254/8675001b2bc3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95da/10494254/26333963c334/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95da/10494254/8675001b2bc3/gr2.jpg

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本文引用的文献

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Invasive fungal infection by Saprochaete capitata in a child with bone marrow aplasia.骨髓增生异常患儿中无性型枝孢霉的侵袭性真菌感染。
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Clinical features and prognostic factors of Magnusiomyces (Saprochaete) infections in haematology. A multicentre study of SEIFEM/Fungiscope.血液学中Magnusiomyces(Saprochaete)感染的临床特征及预后因素。SEIFEM/Fungiscope多中心研究。
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Pulmonary and Extrapulmonary Manifestations of Fungal Infections Misdiagnosed as Tuberculosis: The Need for Prompt Diagnosis and Management.被误诊为结核病的真菌感染的肺部和肺外表现:及时诊断和管理的必要性。
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[Pulmonary mycosis in patients with diabetes mellitus. Clinical characteristics and risk factors].[糖尿病患者的肺部真菌病。临床特征及危险因素]
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