Saha S P, Mayo P, Long G A, Myers J E
South Med J. 1979 Sep;72(9):1123-6.
In this retrospective study of 115 cases of histoplasmids, there were 66 male and 49 female patients ranging in age from 2 months to 79 years. The most common presenting symptoms were cough, chest pain, wheezing, weight loss, hemoptysis, and shortness of breath. Thirty-five patients (30%) were asymptomatic. Two patients had manifestations of obstruction of the superior vena cava. Radiologic findings simulated carcinoma, tuberculosis, pneumonia, and viral infections. Sixty-five patients had various operative proceudres, such as lung biopsy, wedge resection, lobectomy, pneumonectomy, resection of lymph node, and bypass of superior vena cava, for diagnosis and treatment. There were two deaths and two postoperative complications. A total of 15 patients received intravenous amphotericin B. Four patients with pneumonic infiltrates developed disseminated histoplasmosis.
在这项对115例组织胞浆菌病患者的回顾性研究中，有66例男性和49例女性患者，年龄从2个月至79岁不等。最常见的症状为咳嗽、胸痛、喘息、体重减轻、咯血和呼吸急促。35例患者（30%）无症状。2例患者有上腔静脉阻塞表现。影像学表现类似癌症、肺结核、肺炎和病毒感染。65例患者接受了各种手术操作，如肺活检、楔形切除术、肺叶切除术、全肺切除术、淋巴结切除术和上腔静脉搭桥术，以进行诊断和治疗。有2例死亡和2例术后并发症。共有15例患者接受了静脉注射两性霉素B。4例有肺部浸润的患者发生了播散性组织胞浆菌病。
