Sauvaget J, Drouhet E, Gagnebien S, Gacouin J C, Bargat F
Poumon Coeur. 1979;35(3):151-61.
From an observation of pulmonary histoplasmosis with Histoplasma capsulatum in a Haiti woman living in France for 2 years, the authors recall the mycological and epidemiological data of this fungus as well as the main clinical radiological and biological signs of the disease. Because of its tendancy to dissemination, histoplasmosis can have a bad prognosis. It is difficult to diagnose in our countries and facing a chronic pulmonary form, a diagnosis of tuberculosis is often thought of. But its possibility is to be envisaged in case of a journey in countries of endemia, and the disease should be confirmed by: -- several samplings to trace the fungus, bringing the mycological prove of the disease; -- serum uses; -- modalities and difficulties of the treatment by Amphotericin B are also recalled.
通过对一名在法国生活两年的海地女性的肺组织胞浆菌病(由荚膜组织胞浆菌引起)的观察,作者回顾了这种真菌的真菌学和流行病学数据,以及该疾病主要的临床、放射学和生物学体征。由于其易于播散,组织胞浆菌病预后可能较差。在我们国家,该病很难诊断,面对慢性肺部形式时,常考虑诊断为结核病。但如果有在该病流行国家旅行的经历,则应考虑到这种可能性,并且该病应通过以下方式确诊:——多次采样以追踪真菌,提供该病的真菌学证据;——血清学检测;——还回顾了两性霉素B治疗的方式及困难。