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经5-氟胞嘧啶治愈的多发性淋巴结隐球菌病

Multiple lymphonodular cryptococcosis, cured by 5-fluorocytosine.

作者信息

Tolentino P, Borrone C

出版信息

Scand J Infect Dis. 1976;8(1):61-4.

PMID:772795
Abstract

A 5-year-old boy was admitted with an acute febrile illness and painful and enlarged cervical lymph nodes. A chest X-ray showed right tracheobronchial lymph nodes. A lymph node biopsy demonstrated a tuberculoid appearance, with epitheloid cells, giant cells, and also necrotic zones. Cryptococcus neoformans was isolated both in culture and after animal inoculation. While amphotericin B was not tolerated by the patient, the oral administration of 5-fluorocytosine resulted in a rapid recovery.

摘要

一名5岁男孩因急性发热性疾病及颈部淋巴结疼痛肿大入院。胸部X线显示右气管支气管淋巴结肿大。淋巴结活检显示为结核样表现,可见上皮样细胞、巨细胞,还有坏死区域。在培养物及动物接种后均分离出新型隐球菌。患者无法耐受两性霉素B,但口服5-氟胞嘧啶后迅速康复。

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