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肺毛霉病作为慢性水杨酸盐中毒的一种并发症。

Pulmonary mucormycosis as a complication of chronic salicylate poisoning.

作者信息

Espinoza C G, Halkias D G

出版信息

Am J Clin Pathol. 1983 Oct;80(4):508-11. doi: 10.1093/ajcp/80.4.508.

Abstract

Mucormycosis is an often-fatal opportunistic fungal infection caused by members of the class Zygomycetes (Phycomycetes), order Mucorales. Most cases are diagnosed by histologic examination, through the identification of mucormycotic hyphae in infected tissues. Chronic debilitating conditions accompanied by acidosis such as diabetes mellitus, as well as leukemia, lymphoma, and immunodeficient states, predispose to the development of this type of opportunistic infection. This report describes a hitherto undescribed finding, the presence of structures consistent with sporangia in tissue sections, in a case of pulmonary mucormycosis occurring in a nondiabetic patient with metabolic acidosis secondary to chronic salicylate poisoning.

摘要

毛霉病是一种常致命的机会性真菌感染,由接合菌纲(藻状菌纲)毛霉目真菌引起。大多数病例通过组织学检查诊断,即通过在感染组织中识别毛霉病的菌丝。伴有酸中毒的慢性衰弱性疾病,如糖尿病,以及白血病、淋巴瘤和免疫缺陷状态,易引发此类机会性感染。本报告描述了一个此前未描述的发现,即在一例继发于慢性水杨酸盐中毒的非糖尿病代谢性酸中毒患者发生的肺毛霉病病例的组织切片中存在与孢子囊一致的结构。

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