黑真菌：一例罕见的肺毛霉病病例
The Black Fungus: A Rare Case of Pulmonary Mucormycosis.
作者信息
Wong Stephanie, Pougoue Elsa Lesley Tchouambou, Polanco Joanna, Kirimi Betty, Poonam Choudhry
机构信息
HCA Florida Northwest Hospital, Margate, Florida.
出版信息
HCA Healthc J Med. 2025 Feb 1;6(1):95-98. doi: 10.36518/2689-0216.1827. eCollection 2025.
BACKGROUND
Mucormycosis, commonly known as the "black fungus," is a severe infection affecting multiple organ systems, including the skin, brain, lungs, and gastrointestinal tract. This case report is focused on pulmonary mucormycosis, which is frequently observed in organ transplant recipients. Diagnostic challenges arise from nonspecific symptoms.
CASE PRESENTATION
Our case involved a 61-year-old male with a history of renal transplantation. The patient initially presented with a persistent cough and bloody sputum and was treated unsuccessfully for a presumed fungal infection. A lung biopsy confirmed pulmonary mucormycosis, emphasizing the heightened vulnerability of immunocompromised individuals.
CONCLUSION
This case highlights the intricate nature of mucormycosis diagnosis and management, particularly in post-organ transplantation patients. It underscores the importance of awareness and collaboration among medical specialists, including infectious disease experts, pulmonologists, and transplant teams, to optimize outcomes in the face of this life-threatening infection.
背景
毛霉病，通常被称为“黑真菌病”，是一种影响多个器官系统的严重感染，包括皮肤、大脑、肺部和胃肠道。本病例报告聚焦于肺毛霉病，这种疾病在器官移植受者中经常出现。诊断难题源于非特异性症状。
病例介绍
我们的病例是一名61岁有肾移植史的男性。患者最初表现为持续咳嗽和咯血痰，因疑似真菌感染接受治疗但未成功。肺活检确诊为肺毛霉病，凸显了免疫功能低下个体的更高易感性。
结论
本病例突出了毛霉病诊断和管理的复杂性，尤其是在器官移植后患者中。它强调了包括传染病专家、肺病学家和移植团队在内的医学专家提高认识并开展协作的重要性，以便在面对这种危及生命的感染时优化治疗结果。
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