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肺移植受者肺部圆肺炎型毛霉菌病成功治疗:肺切除术

Successful Management of Pulmonary Mucormycosis Presenting as Round Pneumonia by Lung Resection in a Kidney Transplant Recipient.

机构信息

Department of Nephrology, Jupiter Hospital, Thane, Mharashtra, India.

Department of Pulmonology, Jupiter Hospital, Thane, Mharashtra, India.

出版信息

Saudi J Kidney Dis Transpl. 2023 Dec 1;34(Suppl 1):S226-S229. doi: 10.4103/sjkdt.sjkdt_395_22. Epub 2024 Jul 3.

Abstract

Pulmonary mucormycosis is rare in kidney transplant recipients and has a high mortality rate. We report a case of pulmonary mucormycosis presenting as round pneumonia 1 year and 1 month after the transplant. The diagnosis was confirmed by a percutaneous lung biopsy. A complete resection of the lung mass, followed by intravenous liposomal amphotericin B therapy, saved the life of the patient. In conclusion, early and prompt diagnosis followed by complete resection of the lesion in pulmonary mucormycosis is lifesaving.

摘要

肺毛霉病在肾移植受者中较为罕见,且死亡率较高。我们报告了 1 例肺毛霉病病例,该患者在移植后 1 年 1 个月时表现为圆形肺炎。诊断通过经皮肺活检得到确认。通过完全切除肺部肿块,并随后进行静脉注射两性霉素 B 脂质体治疗,挽救了患者的生命。总之,肺毛霉病的早期和及时诊断,以及对病变的完全切除是挽救生命的关键。

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