Abstract:
Pulmonary lophomoniasis is a rare and life-threatening disease, most commonly reported across Asian and Latin American countries. Here, we have reported two cases of pulmonary lophomoniasis presenting with atypical manifestations. Case #1 represents a 19-year-old male patient with clinical characteristics suggestive of tuberculosis, presenting with hemoptysis and receiving antituberculosis treatment. Case #2 represents a 69-year-old man with post-tuberculosis pulmonary disease with cystic bronchiectasis presenting with polymicrobial co-infection. Based on our case experience, lophomoniasis should be considered in patients with pneumonia who do not respond to antibiotic treatment, and the corresponding epidemiological factors should be carefully considered in addition to bronchoscopy for precise diagnosis.
摘要:
肺癌是一种罕见的危及生命的疾病,最常见于亚洲和拉丁美洲国家。这里,我们报道了2例表现不典型的肺内滴虫病。病例#1代表一名19岁男性患者,其临床特征提示结核病,出现咯血并接受抗结核治疗。病例#2代表一名69岁的男子,患有结核后肺部疾病,伴有囊性支气管扩张,并伴有多重微生物共同感染。根据我们的案例经验,在对抗生素治疗无反应的肺炎患者中,应考虑使用滴虫病,除支气管镜检查外,还应仔细考虑相应的流行病学因素,以进行精确诊断。