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[透析患者的系统性毛霉病:计算机断层扫描图像及组织学病变]

[Systemic mucormycosis in dialysis: computed tomography picture and histologic lesions].

作者信息

Mariano F, Rossano C, Goia F, Cottino R, Dogliani N, Cavalli P L

机构信息

Servizio di Nefrologia e Dialisi, Ospedale San Lazzaro, Alba Cuneo.

出版信息

Minerva Urol Nefrol. 1996 Mar;48(1):51-4.

PMID:8848770
Abstract

Mucormycosis (zygomycosis) is an uncommon mycosis which can be contracted from the environment and which is responsible for rhino-orbital, pulmonary, gastrointestinal, cerebral or disseminated infections. Severe immunodepression, such as that caused by leukemia, lymphomata and organ graft, or treatment by desferrioxamine, may predispose to pulmonary and systemic forms. In the present work the authors describe a case of systemic mucormycosis, with unfavourable outcome, which arose in a pediatric peritoneal dialysis patient, then transferred to hemodialysis, without evident predisposing factors. In particular they refer to the CAT reports and to lymphonodal and peritoneal histological lesions which allowed them to attain the diagnosis.

摘要

毛霉病(接合菌病)是一种罕见的真菌病,可从环境中感染,可导致鼻眶、肺部、胃肠道、脑部或播散性感染。严重的免疫抑制,如白血病、淋巴瘤和器官移植引起的免疫抑制,或去铁胺治疗,可能易患肺部和全身型毛霉病。在本研究中,作者描述了一例全身型毛霉病,预后不良,发生在一名儿科腹膜透析患者身上,该患者随后转为血液透析,无明显易感因素。特别是他们提到了计算机断层扫描(CAT)报告以及淋巴结和腹膜组织学病变,这些使他们得以确诊。

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