Berrouane Y, Bisiau H, Le Baron F, Cattoen C, Duthilleul P, Dei Cas E
Département de Microbiologie et Biochimie, Centre Hospitalier de Valenciennes, France.
J Clin Pathol. 1998 Jul;51(7):537-8. doi: 10.1136/jcp.51.7.537.
An 80 year old woman developed fever 11 days after volvulus surgery. A peripheral blood smear showed numerous yeast cells--both extraleucocytic and intraleucocytic--as well as leucoagglutination. The fungal elements included blastospores, pseudohyphae, and germ tubes. Two days later, blood cultures yielded Candida albicans, Enterobacter aerogenes, and Staphlococcus aureus. The patient had no medical history of immunodeficiency. Several reports indicate that fungal elements may be detected in peripheral blood smears from patients who have a severe intestinal disease.
一名80岁女性在肠扭转手术后11天出现发热。外周血涂片显示有大量酵母细胞，包括细胞外和细胞内的，以及白细胞凝集现象。真菌成分包括芽生孢子、假菌丝和芽管。两天后，血培养分离出白色念珠菌、产气肠杆菌和金黄色葡萄球菌。该患者无免疫缺陷病史。几份报告表明，患有严重肠道疾病的患者外周血涂片中可能检测到真菌成分。
