Spear R K, Walker P D, Lampton L M
Chest. 1976 Nov;70(5):662-3. doi: 10.1378/chest.70.5.662.
An elderly patient developed acute respiratory failure secondary to airway obstruction by a Candida fungus ball which probably developed secondary to the use of broad-spectrum antibiotics when the patient had a decreased gag reflex while in a semicomatose state. The frequency of pulmonary fungus balls and their precipitating causes are briefly discussed. This potentially frequent, previously unreported complication should be recognized as a contributing factor in the development of acute respiratory failure requiring management by bronchoscopic techniques, as opposed to intubation.
一名老年患者因念珠菌真菌球阻塞气道继发急性呼吸衰竭，该真菌球可能继发于患者处于半昏迷状态、咽反射减弱时使用广谱抗生素。本文简要讨论了肺真菌球的发生率及其诱发原因。这种潜在的常见但此前未报道的并发症应被视为导致急性呼吸衰竭的一个因素，需要通过支气管镜技术而非插管进行处理。
