Beller T A, Mitchell D M, Sobonya R E, Barbee R A
Am Rev Respir Dis. 1979 Oct;120(4):939-42. doi: 10.1164/arrd.1979.120.4.939.
When clinically apparent, coccidioidomycosis usually presents either as an interstitial pulmonary infiltrate or, later in its course, a parenchymal nodule often with cavitation. The present report concerns a young adult woman whose presentation was one of shortness of breath with wheezing and stridor, secondary to a localized endobronchial coccidiodal granuloma producing nearly complete obstruction of the right mainstem bronchus. Such a presentation has not been reported previously in an adult. The possible association of serious fungal disease with previous jejunoileal bypass surgery is discussed.
临床上出现症状时，球孢子菌病通常表现为间质性肺部浸润，或者在病程后期表现为实质结节，常伴有空洞形成。本报告涉及一名年轻成年女性，其表现为呼吸急促伴喘息和喘鸣，继发于局限性支气管内球孢子菌肉芽肿，导致右主支气管几乎完全阻塞。此前未见有成年人出现这种表现的报道。本文还讨论了严重真菌病与既往空肠回肠旁路手术之间可能存在的关联。
