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免疫功能正常的年轻女性患肺毛霉菌病:一例报告及文献综述

Pulmonary mucormycosis in an immunocompetent young female: a case report and literature review.

作者信息

Zhang Xun, Wu Zhenbin, Shao Shifeng

机构信息

Department of ICU, Daping Hospital, Army Medical University, Chongqing, China.

出版信息

Front Med (Lausanne). 2024 Dec 24;11:1491489. doi: 10.3389/fmed.2024.1491489. eCollection 2024.

DOI:10.3389/fmed.2024.1491489
PMID:39776843
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11703827/
Abstract

Mucormycosis is considered a rare but highly lethal fungal infection, often occurring in patients with poorly controlled diabetes or immunosuppression. Pulmonary mucormycosis progresses rapidly and is often associated with pulmonary infarction and hemoptysis. In this case report, we presented a young, immunocompetent female patient with newly diagnosed diabetes who was diagnosed early with infection through metagenomic next-generation sequencing. Despite early diagnosis, the infection progressed rapidly, invading the tracheal cartilage and upper mediastinal soft tissue, ultimately leading to the patient's unfortunate demise.

摘要

毛霉病被认为是一种罕见但极具致死性的真菌感染,常发生于糖尿病控制不佳或免疫抑制的患者。肺毛霉病进展迅速,常伴有肺梗死和咯血。在本病例报告中,我们介绍了一位新诊断为糖尿病的年轻免疫功能正常女性患者,通过宏基因组下一代测序早期诊断出感染。尽管早期诊断,但感染进展迅速,侵犯气管软骨和上纵隔软组织,最终导致患者不幸死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d81/11703827/7e8761e2a95e/fmed-11-1491489-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d81/11703827/26d31911b16c/fmed-11-1491489-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d81/11703827/7e8761e2a95e/fmed-11-1491489-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d81/11703827/26d31911b16c/fmed-11-1491489-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d81/11703827/7e8761e2a95e/fmed-11-1491489-g002.jpg

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本文引用的文献

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Rhino-orbital-cerebral mucormycosis caused by diagnosis via metagenomics next-generation sequencing: a case report.宏基因组下一代测序技术辅助诊断引起的鼻眶脑型毛霉菌病:病例报告
Front Cell Infect Microbiol. 2024 Jul 16;14:1375058. doi: 10.3389/fcimb.2024.1375058. eCollection 2024.
2
A rare case of pulmonary mucormycosis and broncho-esophageal fistula in a patient with poorly controlled diabetes.一名糖尿病控制不佳患者发生肺毛霉菌病及支气管食管瘘的罕见病例。
Clin Case Rep. 2024 Jun 28;12(7):e9093. doi: 10.1002/ccr3.9093. eCollection 2024 Jul.
3
The unlikely suspect: A case of isolated pulmonary mucormycosis-induced acute mediastinitis in an immunocompetent patient.
罕见的嫌疑犯:一例免疫功能正常患者由孤立性肺毛霉病引起的急性纵隔炎病例。
Qatar Med J. 2024 Apr 30;2024(2):22. doi: 10.5339/qmj.2024.qitc.22. eCollection 2024.
4
Improving Diagnosis of Pulmonary Mucormycosis: Leads From a Contemporary National Study of 114 Cases.提高肺毛霉菌病诊断水平:来自 114 例当代全国性研究的线索。
Chest. 2023 Nov;164(5):1097-1107. doi: 10.1016/j.chest.2023.06.039. Epub 2023 Jul 5.
5
Chronic pulmonary mucormycosis caused by rhizopus microsporus mimics lung carcinoma in an immunocompetent adult: A case report.由微小根霉引起的慢性肺毛霉病在免疫功能正常的成年人中酷似肺癌:一例报告
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A rare case of an immunocompetent patient with isolated pulmonary mucormycosis.一例罕见的免疫功能正常患者孤立性肺毛霉菌病病例。
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and Co-Infection Due to Inhalation of Biogas in Immunocompetent Patients: A Case Series.免疫功能正常患者因吸入沼气导致的合并感染:病例系列
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