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[血管侵袭性播散性曲霉病:白血病患者的尸检诊断]

[Angio-invasive disseminated aspergillosis: autopsy diagnosis in leukemic patients].

作者信息

Ramos Fernández V, Prieto Rodríguez M, Paradís Alós A, López Chulía F, Salom Fúster J V, Vera-Sempere F J

机构信息

Servicio de Anatomía Patológica, Hospital Universitario La Fe, Valencia.

出版信息

An Med Interna. 1993 Jul;10(7):337-40.

PMID:8218767
Abstract

We report on two patients with acute lymphoblastic leukemia in induction chemotherapy, who developed a sepsis which led, in both cases, to death following the appearance of neurological symptoms suggesting CNS affectation. Autopsy revealed an angioinvasive disseminated aspergillosis affecting lungs, brain, myocardium, kidneys, thyroid glands in both cases, and endocardium, urinary bladder, lymph nodes, alimentary tract, nasal sinuses in one of the cases. Microbiology study of necropsic tissue showed Aspergillus flavusoryzae and likewise Candida albicans in one case. The latter finding suggest a combined fungal sepsis caused to candida and aspergillus.

摘要

我们报告了两名急性淋巴细胞白血病患者在诱导化疗期间发生败血症的病例,这两名患者均在出现提示中枢神经系统受累的神经症状后死亡。尸检显示,两名患者均患有血管侵袭性播散性曲霉病,累及肺部、大脑、心肌、肾脏、甲状腺,其中一名患者还累及心内膜、膀胱、淋巴结、消化道、鼻窦。对尸检组织进行的微生物学研究显示,两例均有黄曲霉菌或米曲霉,其中一例还发现白色念珠菌。后一发现提示念珠菌和曲霉菌联合引起的真菌败血症。

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