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Pulmonary fungal ball due to Trichophyton successfully managed with oral itraconazole: a case report

机译:由于<斜体切换=“是”> richophyton 由于口服Itraconazole成功管理:案例报告

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Pulmonary fungal balls are caused by long-term fungal infection of the lung. They are sometimes a complication of previous cavitary pulmonary tuberculosis. Pulmonary fungal balls caused by Trichophyton are extremely rare. A 65-year-old man who worked in a leather recycling factory was admitted because of a productive cough and shortness of breath. He had a history of tuberculosis with lung destruction. A chest radiograph showed an opacity surrounding an air lucency over the left lung field, and chest computed tomography showed a mass within a cavity, producing a ball-in-hole appearance, over the left upper lung lobe. Bronchoalveolar lavage was performed, and fungal culture of the lavage fluid yielded Trichophyton . After 6 months of treatment with oral itraconazole, the patient’s general condition improved. This case emphasizes the importance of awareness of fungal infection within cavitary lesions of the lung and shows that Trichophyton may be the etiologic organism in such cases. Itraconazole is a recommended treatment of pulmonary fungal balls.
机译:肺部真菌球是由肺的长期真菌感染引起的。它们有时是先前空腔肺结核的并发症。由Trichophyton引起的肺部菌球非常罕见。一名65岁的男子在皮革回收厂中致力于生产咳嗽和呼吸急促。他患有肺部毁灭的结核病史。胸部X线片显示出左肺领域的空气易透明度的不透明度,并且胸部计算机断层扫描显示出腔内的质量,在左上肺叶上产生球形孔外观。进行了支气管肺泡灌洗,并且灌洗液的真菌培养物产生滴形癣菌。用口服伊丙酮治疗6个月后,患者的一般情况有所改善。这种情况强调了对肺部腔内病变内真菌感染的认识的重要性,并表明在这种情况下滴体可能是病因生物。伊丙酮是一种推荐治疗肺部真菌球。

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