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侵袭性心脏曲霉菌病的一种独特临床实体:此次并非心脏瓣膜受累。

A Distinct Clinical Entity of Invasive Cardiac Aspergillosis: Not the Heart Valves This Time.

作者信息

Al Khouri Zaid, Smeltzer Hunter, Al Qura'an Anood, Khan Mohammad H, Malek Alexandre E

机构信息

Department of Medicine, Division of Infectious Diseases, Louisiana State University Health Sciences Center, Shreveport, LA 71103, USA.

出版信息

J Fungi (Basel). 2025 Jun 26;11(7):486. doi: 10.3390/jof11070486.

DOI:10.3390/jof11070486
PMID:40985373
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12295503/
Abstract

Invasive aspergillosis (IA) is a life-threatening infection that mainly affects immunocompromised hosts. Cardiac involvement is rare but can be the sole presentation of IA. It is associated with a high mortality rate and mostly occurs in patients with pre-existing cardiac disease. It can also be seen in immunocompetent patients with a structurally normal heart. The reported cases of cardiac involvement are usually due to infectious endocarditis (IE) caused by species (most commonly ). However, there is limited data on non-valvular cardiac aspergillosis (NVCA). We reviewed 67 cases of NVCA published between 1950-2024 and reported an additional case from our institution involving a 48-year-old female with kyphoscoliosis diagnosed with pericarditis.

摘要

侵袭性曲霉病(IA)是一种危及生命的感染,主要影响免疫功能低下的宿主。心脏受累罕见,但可能是IA的唯一表现形式。它与高死亡率相关,且大多发生在已有心脏疾病的患者中。在心脏结构正常的免疫功能正常患者中也可见到。报道的心脏受累病例通常是由特定菌种(最常见的是)引起的感染性心内膜炎(IE)所致。然而,关于非瓣膜性心脏曲霉病(NVCA)的数据有限。我们回顾了1950年至2024年间发表的67例NVCA病例,并报告了我们机构的另外一例病例,该病例涉及一名48岁患有脊柱侧弯的女性,被诊断为心包炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1102/12295503/35ca3d8cdf4f/jof-11-00486-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1102/12295503/35ca3d8cdf4f/jof-11-00486-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1102/12295503/35ca3d8cdf4f/jof-11-00486-g001.jpg

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本文引用的文献

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侵袭性曲霉菌病合并心包炎一例:手术在多模式治疗中的作用
CJC Open. 2022 Apr 14;4(7):663-666. doi: 10.1016/j.cjco.2022.04.001. eCollection 2022 Jul.
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J Intensive Care Soc. 2021 Aug;22(3):241-247. doi: 10.1177/1751143720936821. Epub 2020 Jul 6.
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