Mesh : Humans Female Aspergillosis / diagnosis complications Middle Aged Duodenal Diseases / diagnosis etiology Antifungal Agents / therapeutic use Diabetes Complications Immunocompromised Host Diabetes Mellitus, Type 2 / complications

来  源:   DOI:10.59556/japi.72.0554

Abstract:
Aspergillosis mostly involves the lung and sinuses in severely immunocompromised patients like those with hematological malignancies, postorgan transplants, acquired immunodeficiency syndrome (AIDS), and secondary to chemotherapeutic agents. Duodenal aspergillosis is very rare and mostly occurs as a part of disseminated disease or in classical immunosuppressive conditions. We report a middle-aged female with uncontrolled diabetes who presented to us with epigastric pain and was finally diagnosed as a case of primary duodenal aspergillosis. Diabetes mellitus should also be kept as one of the predisposing conditions for it, and a high index of suspicion should be kept for it to reduce morbidity and mortality.
摘要:
曲霉病主要涉及严重免疫功能低下的患者,如血液系统恶性肿瘤,postorgan移植,获得性免疫缺陷综合症(AIDS),继发于化学治疗剂。十二指肠曲霉病非常罕见,主要是作为播散性疾病的一部分或在经典的免疫抑制疾病中发生。我们报告了一名患有不受控制的糖尿病的中年女性,她向我们展示了上腹痛,最终被诊断为原发性十二指肠曲霉病。糖尿病也应作为其易感因素之一,并应保持高度怀疑指数,以降低发病率和死亡率。
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