一名患有阻塞性气道疾病的患者发生曲霉菌性硬膜外脓肿。
Aspergillus epidural abscess in a patient with obstructive airway disease.
作者信息
Chee Y C, Poh S C
出版信息
Postgrad Med J. 1983 Jan;59(687):43-5. doi: 10.1136/pgmj.59.687.43.
Abstract
A 54-year-old Chinese man with episodic bronchial asthma since 25 years of age was treated for pulmonary tuberculosis in 1976 because of left upper lobe lesions on chest radiograph. In 1981 he presented with an extradural mass compressing the thoracic spinal cord, thought to be tuberculosis but which on biopsy was found to be aspergillosis. Sputum culture, type on skin-prick reactivity and serum precipitating antibodies were positive for Aspergillus. Amphotericin B intravenously, then ketoconazole orally did not substantially improve his clinical course. He died about four months post-laminectomy.
摘要
一名54岁的中国男性，自25岁起患有发作性支气管哮喘，1976年因胸部X线片显示左上叶病变而接受肺结核治疗。1981年，他出现硬膜外肿块压迫胸段脊髓，最初认为是结核病，但活检发现是曲霉菌病。痰培养、皮肤点刺反应类型及血清沉淀抗体检测对曲霉菌均呈阳性。静脉注射两性霉素B，随后口服酮康唑，但他的临床病程并未得到实质性改善。他在椎板切除术后约四个月死亡。
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本文引用的文献
1
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AMA Arch Pathol. 1952 Feb;53(2):167-73.
2
Generalized aspergillosis. A case involving the central nervous system.播散性曲霉病。1例累及中枢神经系统的病例。
Am J Dis Child. 1966 Sep;112(3):262-5. doi: 10.1001/archpedi.1966.02090120130017.
3
Aspergillosis of the central nervous system. Report of a brain abscess due to A. fumigatus and review of the literature.中枢神经系统曲霉菌病。1例烟曲霉所致脑脓肿的报告及文献复习。
Neurology. 1969 Oct;19(10):967-74. doi: 10.1212/wnl.19.10.967.
4
Aspergillosis presenting as spinal cord compression. Case report.表现为脊髓压迫的曲霉病。病例报告。
J Neurosurg. 1972 Feb;36(2):221-4. doi: 10.3171/jns.1972.36.2.0221.
5
Aspergillosis. The spectrum of the disease in 98 patients.曲霉病。98例患者的疾病谱。
Medicine (Baltimore). 1970 Mar;49(2):147-73. doi: 10.1097/00005792-197003000-00002.
6
Aspergillosis of the paranasal sinuses.
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7
The correlation between skin tests, bronchial provocation tests and the serum level of IgE specific for common allergens in patients with asthma.
Clin Allergy. 1975 Jun;5(2):145-57. doi: 10.1111/j.1365-2222.1975.tb01847.x.
8
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