Johnston A W, Brown P A, Ewen S W
Aberdeen Royal Infirmary, University of Aberdeen, U.K.
J Infect. 1996 Sep;33(2):111-3. doi: 10.1016/s0163-4453(96)93024-8.
A patient with chronic disseminated histoplasmosis was followed after successful treatment with amphotericin B for 10 years until his death from chronic obstructive airways disease. Necropsy showed that Histoplasma organisms could still be identified in the adrenal and pancreatic abscesses, though none appeared viable on electron microscopy. Excision of such abscesses should be considered in view of their potential as a reservoir of organisms.
一名慢性播散性组织胞浆菌病患者在接受两性霉素B成功治疗后随访了10年,直至其死于慢性阻塞性气道疾病。尸检显示,在肾上腺和胰腺脓肿中仍可鉴定出组织胞浆菌,但在电子显微镜下均未发现有存活的菌体。鉴于此类脓肿有可能作为病原菌的储存库,应考虑将其切除。