Lowenstein M, Markowitz S M, Nottebart H C, Shadomy S
Chest. 1978 Mar;73(3):419-21. doi: 10.1378/chest.73.3.419.
A 48-year-old male custodian and part-time gardener was hospitalized for treatment of renal tuberculosis. Sputum cultures failed to reveal mycobacteria, but Sporothrix schenckii was isolated over an eight-month period. In the absence of clinical or roentgenographic evidence of active lung disease, we postulate the saprophytic existence of S schenckii in this patient's tracheobronchial tree. Recognition of this state would obviate the need for the commonly accepted therapy for pulmonary sporotrichosis, amphotericin B.
一名48岁的男性 custodian（此处可能有误，推测为“监护人”之类，但结合语境不太准确，若为“保管人”也不太符合，存疑）和兼职园丁因肾结核住院治疗。痰培养未发现分枝杆菌，但在八个月的时间里分离出了申克孢子丝菌。由于缺乏活动性肺部疾病的临床或影像学证据，我们推测申克孢子丝菌在该患者的气管支气管树中腐生存在。认识到这种状态将无需采用治疗肺孢子丝菌病常用的两性霉素B疗法。
