关键词: Blastomyces dermatitidis fluconazole pulmonary blastmycosis

Mesh : Adult Antifungal Agents / therapeutic use Biopsy Blastomycosis / diagnosis diagnostic imaging drug therapy immunology China Fluconazole / therapeutic use Humans Immunocompetence Male Radiography, Thoracic Tomography, X-Ray Computed

来  源:   DOI:10.1016/j.ijid.2017.04.006

Abstract:
The current case report presents a 29-year old man who worked as a hotel guard in a city in China. The patient had fever and dry cough before and after hospitalization. Chest X-ray and CT revealed nodular and patchy lesions in both lower lungs. There were no abnormal findings in the examination of sputum and bronchoalveoular lavage fluid (BALF). He was diagnosed with pulmonary blastomycosis by histological examination of lung biopsy and treated with fluconazole. Follow-up chest CT examination demonstrated that the patient was recovered through appropriate antifungal treatment.
摘要:
目前的病例报告介绍了一名29岁的男子,他在中国一个城市担任酒店警卫。患者住院前后有发热和干咳。胸部X线和CT显示两下肺结节状和斑片状病变。痰液和支气管肺泡灌洗液(BALF)检查均未见异常。通过肺活检的组织学检查,他被诊断为肺胚真菌病,并接受了氟康唑治疗。随访胸部CT检查显示,通过适当的抗真菌治疗,患者康复。
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