Valmary J, Bauduceau B, Lartisien D, Flechaire A, Debord T, Daly J P, Laverdant C
Med Trop (Mars). 1984 Oct-Dec;44(4):369-73.
The authors describe a disseminated multivisceral form of african histoplasmosis due to H. duboisii in a 45 years old black woman. Clinical examination shows characteristic lesions of skin, bones and lymph glands. Lymphography reveals lesions of deep lymph glands and laparascopy lesions of liver and spleen. First untimely stopped, treatment was started again with ketoconazole. 20 months later, the course of the disease is, as for as we can appreciate it, favourable.
作者描述了一名45岁黑人女性因杜波依斯组织胞浆菌引起的播散性多脏器型非洲组织胞浆菌病。临床检查显示皮肤、骨骼和淋巴结有特征性病变。淋巴造影显示深部淋巴结病变,腹腔镜检查显示肝脏和脾脏病变。最初治疗未及时进行,后重新开始使用酮康唑治疗。20个月后,就我们所能判断的情况而言,病情呈好转趋势。