Drut R
Servicio de Patologia, Hospital de Niños, La Plata, Argentina.
Diagn Cytopathol. 1995 Jul;13(1):52-3. doi: 10.1002/dc.2840130111.
A 4-yr-old girl presented with constitutional symptoms, abdominal swelling, ascites, and cervical lymphadenopathy. Fine-needle aspirate smears of a cervical lymph node revealed numerous round yeasts, many of them with several peripheral buds fitting the pattern of Paracoccidiodes brasilensis. This appears to be the first case in which the diagnosis of this deep mycosis was achieved by FNAC. The procedure may prove useful for rapid diagnosis in cases like the present one which represents the so-called acute disseminated form which affects mainly children and immunosuppressed patients and can be rapidly fatal.
一名4岁女孩出现全身症状、腹部肿胀、腹水和颈部淋巴结病。颈部淋巴结细针穿刺涂片显示有大量圆形酵母，其中许多有几个周边芽体，符合巴西副球孢子菌的形态。这似乎是首例通过细针穿刺抽吸活检（FNAC）确诊这种深部真菌病的病例。对于像本例这样代表所谓急性播散型的病例，该方法可能有助于快速诊断，这种急性播散型主要影响儿童和免疫抑制患者，且可能迅速致命。
