Jiva T M, Kallay M C, Marin M G, Poe R H
University of Rochester School of Medicine and Dentistry, NY.
Chest. 1993 Dec;104(6):1929-31. doi: 10.1378/chest.104.6.1929.
Invasive pulmonary aspergillosis (IPA), although unusual, has been recognized in the immunocompetent host. Several cases of IPA with rapidly progressive respiratory failure have been reported in patients receiving short-term corticosteroid therapy for chronic obstructive pulmonary disease. Atypical pneumonia caused by dual infection with Legionella pneumophila and Mycoplasma pneumoniae has also been reported. We report an unusual case of simultaneous L pneumophila pneumonia and IPA in an asthma patient with suspected allergic bronchopulmonary aspergillosis newly treated with corticosteroids.
侵袭性肺曲霉病（IPA）虽不常见，但在免疫功能正常的宿主中也有发现。已有数例接受短期皮质类固醇治疗慢性阻塞性肺疾病的患者发生了伴有快速进展性呼吸衰竭的IPA。也有军团菌和肺炎支原体双重感染引起非典型肺炎的报道。我们报告了1例哮喘患者，怀疑患有过敏性支气管肺曲霉病，新接受皮质类固醇治疗，同时发生嗜肺军团菌肺炎和IPA的罕见病例。
