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难治性免疫功能正常宿主的肺部波氏假阿利什霉病:一例报告及文献复习

Pulmonary scedosporiosis in an intractable immunocompetent host: A case report and literature review.

作者信息

Liang Hong Yu, Han Chun Hua, Xu Wen Juan, Sun Jian, Wang Qiang

机构信息

Department of Respiratory and Critical Care Medicine, The Affiliated Hospital of Qingdao University, Qingdao, China.

Department of Bacteriology Room, The Affiliated Hospital of Qingdao University, Qingdao, China.

出版信息

Clin Respir J. 2024 Mar;18(3):e13739. doi: 10.1111/crj.13739.

DOI:10.1111/crj.13739
PMID:38433370
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10909920/
Abstract

Pulmonary scedosporiosis is a rare pulmonary infection that often presents with nonspecific symptoms and radiological findings. In this report, we present a case of localized pulmonary scedosporiosis in an immunocompetent patient and analyze a total of 25 immunocompetent patients with pulmonary scedosporiosis. Through this case and the literature, we highlight the importance of considering pulmonary scedosporiosis in patients with nonspecific clinical symptoms and radiological findings resembling aspergilloma. This case and the literature further emphasize the significance of surgical intervention. Regardless of the use of antifungal drugs, surgery should be conducted as soon as possible.

摘要

肺波氏假阿利什霉病是一种罕见的肺部感染,常表现为非特异性症状和影像学表现。在本报告中,我们呈现了一例免疫功能正常患者的局限性肺波氏假阿利什霉病病例,并分析了总共25例免疫功能正常的肺波氏假阿利什霉病患者。通过该病例及文献,我们强调了对于具有类似曲菌球的非特异性临床症状和影像学表现的患者,考虑肺波氏假阿利什霉病的重要性。该病例及文献进一步强调了手术干预的意义。无论是否使用抗真菌药物,都应尽快进行手术。

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本文引用的文献

1
Scedosporium apiospermum Pneumonia in an Immunocompetent Host.免疫功能正常宿主的阿萨希毛孢子菌肺炎
Cureus. 2021 Aug 4;13(8):e16891. doi: 10.7759/cureus.16891. eCollection 2021 Aug.
2
antifungal susceptibility of yeasts and molds isolated from sputum of tuberculosis relapse and retreatment patients.从肺结核复发和复治患者的痰中分离出的酵母菌和霉菌的抗真菌药敏性。
Pan Afr Med J. 2021 Mar 1;38:227. doi: 10.11604/pamj.2021.38.227.26485. eCollection 2021.
3
Management of pulmonary infection by thoracoscopic surgery in an immunocompetent woman.
免疫功能正常女性肺部感染的胸腔镜手术治疗
J Int Med Res. 2020 Jul;48(7):300060520931620. doi: 10.1177/0300060520931620.
4
Scedosporium spp lung infection in immunocompetent patients: A systematic review and MOOSE-compliant meta-analysis.免疫功能正常患者的枝孢霉属肺部感染:一项系统评价及符合MOOSE标准的Meta分析。
Medicine (Baltimore). 2019 Oct;98(41):e17535. doi: 10.1097/MD.0000000000017535.
5
Pulmonary scedosporiosis in a patient with acute hematopoietic failure: Diagnosis aided by next-generation sequencing.急性造血功能衰竭患者肺部粗球孢子菌病:应用下一代测序技术辅助诊断。
Int J Infect Dis. 2019 Aug;85:114-116. doi: 10.1016/j.ijid.2019.05.033. Epub 2019 Jun 3.
6
Fungal epidemiology in cystic fibrosis patients with a special focus on Scedosporium species complex.囊性纤维化患者的真菌流行病学研究,特别关注枝顶孢属复合体。
Microb Pathog. 2019 Apr;129:168-175. doi: 10.1016/j.micpath.2019.02.009. Epub 2019 Feb 8.
7
Prognostic factors in 264 adults with invasive Scedosporium spp. and Lomentospora prolificans infection reported in the literature and FungiScope.文献和 FungiScope 中报告的 264 例侵袭性节菱孢属和 prolificans 感染成人的预后因素。
Crit Rev Microbiol. 2019 Feb;45(1):1-21. doi: 10.1080/1040841X.2018.1514366. Epub 2019 Jan 10.
8
Pulmonary Scedosporium apiospermum Infection with Pulmonary Tumorlet in an Immunocompetent Patient.免疫功能正常患者的肺尖端赛多孢菌感染伴肺微小结节
Intern Med. 2018 Dec 1;57(23):3485-3490. doi: 10.2169/internalmedicine.1239-18. Epub 2018 Aug 10.
9
Scedosporium apiospermum Mycetoma in an Immunocompetent Patient without Prior Lung Disease.免疫功能正常且无既往肺部疾病患者的伪阿利什霉足菌肿
Ann Am Thorac Soc. 2017 Jan;14(1):145-147. doi: 10.1513/AnnalsATS.201609-697LE.
10
Pulmonary scedosporiosis mimicking aspergilloma in an immunocompetent host: a case report and review of the literature.免疫功能正常宿主中表现为曲菌球的肺拟青霉病:一例报告并文献复习
Infection. 2016 Feb;44(1):127-32. doi: 10.1007/s15010-015-0840-4. Epub 2015 Sep 9.