由粗球孢子菌引起的肺真菌球。

Pulmonary mycetoma due to Coccidioides immitis.

作者信息

Thadepalli H, Salem F A, Mandal A K, Rambhatla K, Einstein H E

出版信息

Chest. 1977 Mar;71(3):429-30. doi: 10.1378/chest.71.3.429.

DOI:10.1378/chest.71.3.429

Abstract

Pulmonary mycetoma due to Coccidioides immitis has been reported on three occasions. The present case is the fourth such report occurring in a patient with widely disseminated disease. Spherules and hyphae were found in the specimen. While the active pulmonary and extra-pulmonary lesions responded well to therapy with amphotericin B, resection was required to eliminate the residual mycetoma and its attendant hemoptysis.

摘要

由粗球孢子菌引起的肺真菌瘤已有三次报道。本病例是第四例发生在广泛播散性疾病患者中的此类报告。在标本中发现了球囊和菌丝。虽然活动性肺部和肺外病变对两性霉素B治疗反应良好，但仍需要手术切除以消除残留的真菌瘤及其伴随的咯血。