PDF(Pubmed)
Abstract：
Paracoccidioidomycosis (PCM) is a systemic fungal infection caused by Paracoccidioides species. Chylothorax is a rare complication of PCM. A 16-year-old adolescent presented daily fever, lymphadenomegaly, sweating, weight loss, ventilatory-dependent pain, and dysphagia, which confirmed PCM. During treatment, the patient developed chylothorax and chylous ascites. Chronic inflammatory and fibrotic lymphadenopathy may obstruct lymphatic vessels, resulting in the extravasation of lymph into the abdomen or pleural cavities. Chylothorax is one of several complications of PCM and can lead to respiratory insufficiency, even in patients undergoing antifungal therapy.
摘要：
副孢子菌病（PCM）是由副孢子菌种引起的全身性真菌感染。乳糜胸是PCM的罕见并发症。一名16岁的青少年每天发烧，淋巴结肿大，出汗,减肥,通气依赖性疼痛，和吞咽困难,证实了PCM。治疗期间,患者出现乳糜胸和乳糜腹水。慢性炎症和纤维化淋巴结病可能阻塞淋巴管，导致淋巴外渗到腹部或胸膜腔。乳糜胸是PCM的几种并发症之一，可导致呼吸功能不全，甚至在接受抗真菌治疗的患者中。
