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肺普通裂褶菌感染致支气管黏液栓2例

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Author:
No author available
Journal Title:
Chinese Journal of Tuberculosis and Respiratory Diseases
Issue:
5
DOI:
10.3760/cma.j.cn112147-20210928-00681
Key Word:
No keyword available

Abstract: 肺普通裂褶菌感染为临床少见疾病,主要表现为变应性支气管肺真菌病和支气管黏液栓,因普通裂褶菌也为丝状真菌,且也可出现血清烟曲霉IgG和(或)烟曲霉IgE增高,极易误诊为变应性支气管肺曲霉病(ABPA)和慢性肺曲霉病(CPA),需引起临床重视。本文报道2例肺普通裂褶菌感染致支气管黏液栓,2例患者均出现血清烟曲霉IgG增高,1例出现烟曲霉IgE增高,BALF真菌培养出白色绒毛状菌落,送检ITS区域 DNA测序鉴定为普通裂褶菌,给予伏立康唑治疗后肺内病灶均基本完全吸收。

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