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真菌源性嗜酸性粒细胞增多的支气管肺病理学(不包括变应性支气管肺曲霉病)

[Bronchopulmonary pathology with hypereosinophilia of fungal origin (excluding allergic bronchopulmonary aspergillosis)].

作者信息

Lahoute C, Tonnel A B, Fournier E, Ramon P, Voisin C

出版信息

Poumon Coeur. 1983;39(2):87-93.

PMID:6878115
Abstract

Five cases of eosinophil lung are reported in which the fungus responsible for the affection was not Aspergillus. Documented data include reports on 19 similar cases with a clinical picture suggestive of allergic bronchopulmonary aspergillosis but with negative tests for Aspergillus. The various fungal species isolated included Candida albicans, Penicillium, Geotrichum candidum, Stemphylium lanuginosum, Culvularia lunata, and Drechsleria hawaïensis. Diagnostic criteria are discussed, with particular emphasis on the importance of the inhalation provocation test, as well as possible efficacy of antifungal treatment.

摘要

报告了5例嗜酸性粒细胞性肺病,其中导致该疾病的真菌并非曲霉菌。记录的数据包括19例类似病例的报告,这些病例临床表现提示变应性支气管肺曲霉菌病,但曲霉菌检测呈阴性。分离出的各种真菌种类包括白色念珠菌、青霉菌、念珠地丝菌、绒毛匍柄霉、新月弯孢霉和夏威夷德氏霉。文中讨论了诊断标准,特别强调了吸入激发试验的重要性以及抗真菌治疗的可能疗效。

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