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两名急性淋巴细胞白血病完全缓解患者发生侵袭性曲霉病。

Invasive aspergillosis in two patients with acute lymphoblastic leukaemia in complete remission.

作者信息

Turner M L, Russell L, Milne L J, Parker A C

机构信息

Department of Haematology, Royal Infirmary of Edinburgh, UK.

出版信息

Postgrad Med J. 1993 May;69(811):405-8. doi: 10.1136/pgmj.69.811.405.

Abstract

Invasive aspergillosis is a disease of the immunosuppressed patient. We describe two patients with acute lymphoblastic leukaemia who attained complete remission, with partial or complete bone marrow recovery, but who went on to develop fatal invasive aspergillosis contemporaneous with recovery of neutrophil counts. Quantitative recovery of peripheral blood neutrophil counts does not guarantee control of Aspergillus infection, perhaps due to functional neutrophil deficiencies post-chemotherapy, and specific defensive strategies adopted by the organism itself.

摘要

侵袭性曲霉病是免疫抑制患者易患的疾病。我们描述了两名急性淋巴细胞白血病患者,他们达到了完全缓解,骨髓部分或完全恢复,但在中性粒细胞计数恢复的同时却发生了致命的侵袭性曲霉病。外周血中性粒细胞计数的定量恢复并不能保证对曲霉菌感染的控制,这可能是由于化疗后中性粒细胞功能缺陷以及病原体自身采取的特定防御策略所致。

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