Bergmann L
Z Erkr Atmungsorgane. 1976 Sep;146(3):318-27.
A series of 13 cases of aspergillus-infection in the respiratory tract are reviewed. A case of rapid development of an intrapleural aspergillus-mycetom is presented. A complete series of chest roentgenograms and operation-photos allowed to demonstrate like with a quick-motion apparatus 3 stages of development of an intrapleural aspergillus-myceton: I. Infection through Aspergilli of a residual intrapleural cavity by the bronchial way. Pleural thickening as reaction to the irritation. II. Development of fungus-lawn and mycotic layers on the cavity-wall. III. Scaling off from the wall and moulding to the fungus-ball through movement of human body. Each of the three stages can be coordinated to a roentgenographic sign. The detection in an early stage of development makes it possible to treat the aspergillus-mycetom also by conservative methods, f. i. with a Pimafucin-Suspension (Natamycin) by aerososl.
回顾了13例呼吸道曲霉菌感染病例。报告了1例胸膜内曲霉菌球迅速发展的病例。通过一系列完整的胸部X光片和手术照片，如同用高速摄像机一样展示了胸膜内曲霉菌球发展的3个阶段：I. 支气管途径导致残留胸膜腔内曲霉菌感染。胸膜增厚作为对刺激的反应。II. 腔壁上真菌层和霉菌层的形成。III. 随着人体运动从壁上脱落并形成真菌球。这三个阶段中的每一个都可以与一个X线征象相对应。在疾病发展的早期阶段进行检测，使得也可以通过保守方法治疗曲霉菌球，例如使用匹马菌素悬浮液（那他霉素）进行雾化治疗。
