Alba D, Gomez-Cerezo J, Cobo J, Ripoll M M, Molina F, Vazquez J J
Departamento de Medicina Interna, Hospital La Paz, Madrid.
An Med Interna. 1996 Jan;13(1):34-6.
Invasive pulmonary aspergillosis can occur after viral influenza infection. It is described a previously healthy 58-year-old man with influenza virus infection who later suffered pulmonary aspergillosis. His response to amphotericin B was successful. The seven similar cases reported in the literature are revised and some common features established. Early antifungal therapy should be administered to any patient with previous flu illness presenting bilateral pulmonary infiltrates without response to antibiotics, if Aspergillus is isolated from the respiratory secretions.
侵袭性肺曲霉病可发生于病毒性流感感染之后。本文描述了一名既往健康的58岁男性,其感染流感病毒后罹患肺曲霉病。他对两性霉素B治疗反应良好。对文献报道的7例类似病例进行了回顾,并总结了一些共同特征。对于任何曾患流感且出现双侧肺部浸润、对抗生素无反应,同时呼吸道分泌物分离出曲霉的患者,均应尽早给予抗真菌治疗。