Zapatero J, Flandes J, Ruiz-Zafra J, Fogue L, Salvatierra S, Saldaña D, Peñalver R, Candelas J
Department of Thoracic Surgery, Hospital Ramón y Cajal, Madrid, Spain.
Eur J Cardiothorac Surg. 1995;9(5):286-8. doi: 10.1016/s1010-7940(05)80164-2.
The case of a 70-year-old male with lymphoblastic leukemia is reviewed, who presented the rare and almost always fatal complication of pulmonary mucormycosis, but who was treated satisfactorily with amphotericin B and surgery. The risk of massive hemoptysis in the course of mucormycosis that invades the lung vessels, makes us believe that surgery is an essential part of the management of this disease. It is suggested that the patient be operated as soon as the diagnosis is obtained, as we did in our case, to avoid other risks in combined management with amphotericin B.
本文回顾了一例70岁的淋巴细胞白血病男性患者，该患者出现了罕见且几乎总是致命的肺部毛霉菌病并发症，但通过两性霉素B和手术治疗取得了满意的效果。侵袭肺血管的毛霉菌病过程中发生大量咯血的风险，使我们认为手术是该疾病治疗的重要组成部分。建议一旦确诊就对患者进行手术，就像我们在病例中所做的那样，以避免在与两性霉素B联合治疗中出现其他风险。
