Garcia-Gonzalez M, Sanroman A L, Arribas R, Torres G, Cuesta C, Moreira V F
Gastroenterology Service, Hospital Ramón y Cajal, Madrid, Spain.
Postgrad Med J. 1994 Jun;70(824):459-60. doi: 10.1136/pgmj.70.824.459.
We describe a patient with rapidly progressive pneumonia and a high level of serum lactate dehydrogenase, in whom postmortem study revealed the presence of a diffuse, small and large-cell multicentric non-Hodgkin's lymphoma, together with an invasive pulmonary aspergillosis. Aspergillosis is rare as a presenting feature of a lymphoproliferative disease; only one previous case has been reported to the best of our knowledge. Invasive aspergillosis and lymphoma should be considered in patients presenting with pneumonia and high level of lactate dehydrogenase.
我们描述了一名患有快速进展性肺炎且血清乳酸脱氢酶水平升高的患者，尸检研究发现其存在弥漫性、大小细胞混合型多中心非霍奇金淋巴瘤，同时伴有侵袭性肺曲霉病。曲霉病作为淋巴增殖性疾病的首发特征较为罕见；据我们所知，此前仅报道过一例。对于出现肺炎和高乳酸脱氢酶水平的患者，应考虑侵袭性曲霉病和淋巴瘤。
