Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Mycotic Diseases Branch, Division of Foodborne, Waterborne and Environmental Diseases, Atlanta, Georgia, USA.
Clin Infect Dis. 2024 Jun 14;78(6):1559-1563. doi: 10.1093/cid/ciad619.
Coccidioidomycosis, histoplasmosis, and blastomycosis are underrecognized and frequently misdiagnosed fungal infections that can clinically resemble bacterial and viral community-acquired pneumonia. This guidance is intended to help outpatient clinicians test for these fungal diseases in patients with community-acquired pneumonia to reduce misdiagnoses, unnecessary antibacterial use, and poor outcomes.
球孢子菌病、组织胞浆菌病和芽生菌病是被低估且常被误诊的真菌感染,临床上类似于细菌性和病毒性社区获得性肺炎。本指南旨在帮助门诊临床医生在社区获得性肺炎患者中检测这些真菌感染,以减少误诊、不必要的抗菌药物使用和不良结局。