Ma K W
Clin Nephrol. 1985 Sep;24(3):155-7.
The unusual occurrence of disseminated histoplasmosis in two dialysis patients residing in a nonendemic area is described; one on chronic hemodialysis, the other on continuous ambulatory peritoneal dialysis (CAPD). They both presented with nonspecific febrile illness with splenomegaly and/or pancytopenia. Rapid diagnosis was made with bone marrow biopsies and cultures. In the second patient, peritonitis secondary to histoplasmosis was documented by culture of the dialysate and at autopsy. This is the first such description in a CAPD patient.
本文描述了两名居住在非流行地区的透析患者发生播散性组织胞浆菌病的罕见病例；一名患者接受慢性血液透析，另一名患者接受持续性非卧床腹膜透析（CAPD）。他们均表现为伴有脾肿大和/或全血细胞减少的非特异性发热性疾病。通过骨髓活检和培养实现了快速诊断。在第二名患者中，通过透析液培养和尸检证实了组织胞浆菌病继发的腹膜炎。这是CAPD患者中的首例此类描述。
