...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>感染症学雑誌 >Autopsy case of pulmonary aspergillosis soon after convalescence from pulmonary tuberculosis
【24h】

Autopsy case of pulmonary aspergillosis soon after convalescence from pulmonary tuberculosis

机译：肺结核瘤症患者肿瘤性肺病患者的尸检案例

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

A 70-year-old man with liver cirrhosis and previous gastrectomy admitted for fever, coughing, and bloody sputum soon after convalescing from pulmonary tuberculosis had a peripheral white blood cell count of 9,900/microL, C-reactive protein of 14.1mg/dL, serum albumin of 2.0g/dL, and serum positive for antiaspergillus and beta-D glucan antibodies. Chest radiography showed thickening of the walls of the large residual cavities with previous tuberculosis lesions and infiltrates around them. On day 2 of hospitalization, Aspergillus fumigatus without other bacillus was detected in sputum culture taken on admission. Despite immediate treatment with intravenous micafungin and oral itraconazole and improved brief initial improvement, his general condition abruptly deteriorated into frequent massive hemoptysis and he developed of shock, respiratory failure, and severe malnutrition, dying 30 days later. Autopsy findings showed pulmonary aspergillosis in and around the large cavities and on the other side of the lungs. Pulmonary aspergillosis without hematological malignanciy and immunosuppression can thus be abruptly severe and fatal due to malnourishment stemming from pre-existing conditions such as chronic hepatitis despite prompt, ordinarily adequate medical treatment.
机译：一名70岁男性患有肝硬化和以前胃切除术，肺结核趋于患有发烧，咳嗽和血痰，患有肺结核的康复后，具有9,900 / microl，C-反应蛋白为14.1mg / dl的外周白细胞计数。 2.0g / dl的血清白蛋白，以及抗血糖菌和β-d葡聚糖抗体的血清阳性。胸部射线照相表明，具有先前结核病病变和浸润的大残留腔壁的墙壁增厚。在住院期间的第2天，在痰液中检测到没有其他芽孢杆菌的Aspergillus fumigatus。尽管立即治疗静脉内云母和口服伊霉唑并改善了简短的初步改善，但他的一般病症突然恶化到频繁的大规模血液衰竭中，他开发了休克，呼吸衰竭和严重营养不良，30天后死亡。尸检发现在大腔内和肺部的另一侧显示肺瓣膜病变。因此，由于诸如慢性肝炎如迅速，通常适当的医疗，因此患有血液恶性肿瘤和免疫抑制没有血液恶性肿瘤和免疫抑制的肺病可能因慢性肝炎如慢性肝炎等营养而突然严重和致命。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号