Gonzalez Montaner L J, Palma Beltran O R, Abbate E H, Mosca C
Poumon Coeur. 1983;39(3):129-33.
Twenty-seven cases of South American blastomycosis are reported. Pulmonary lesions predominate and the diagnosis rests on the findings of Paracoccidioides brasiliensis in sputum and tissues. Serological examinations (complement fixation and immunodiffusion) are also useful. Treatment includes sulphonamides, imidazole derivatives and, in cases resistant to these drugs, Amphotericin B. Surgery is limited to abscesses, bone lesions and bronchial stenoses.
报告了27例南美芽生菌病。肺部病变最为常见,诊断依据是在痰液和组织中发现巴西副球孢子菌。血清学检查(补体结合试验和免疫扩散试验)也很有用。治疗包括使用磺胺类药物、咪唑衍生物,对于对这些药物耐药的病例,使用两性霉素B。手术仅适用于脓肿、骨病变和支气管狭窄。