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Aspergillary bronchopneumonia: an unusual cause of atelectasis and asphyxia in a leukemic patient

机译:曲霉菌性支气管肺炎:白血病患者肺不张和窒息的不寻常原因

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A 22-year-old man in his first relapse of T-acute lymphoblastic leukemia developed fever and a pulmonary infiltrate after 23 days of granulocytopenia. Although having been under amphotericin B for 10 days, productive purulent cough ensued, with right lobe atelectasis and acute ventilatory failure that resolved after the elimination of a thick gelatinous bronchial plug. Sputum cultures yielded Candida Albicans and Staphylococcus epidermidis, and microscopic examination of the sputum plug disclosed Aspergillus hyphae. The patient died 9 days after, of a disseminated Aspergillus infection, confirmed by necropsy.
机译:一名22岁男子在他的T急性淋巴细胞白血病首次复发后,出现了粒细胞减少症23天,发烧并肺部浸润。尽管接受了两性霉素B治疗10天后仍出现了脓性咳嗽,右叶肺不张和急性通气衰竭在消除了浓稠的胶状支气管塞后得以解决。痰培养物产生白色念珠菌和表皮葡萄球菌,并且对痰塞的显微镜检查发现菌丝菌。尸检证实该患者在9天后死于弥散性曲霉感染。

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