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叶内型肺隔离症合并肺隐球菌病1例并文献复习

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报道1例52岁男性叶内型肺隔离症合并肺隐球菌病患者,因咳嗽、咳痰和胸闷入院,胸部CT显示右下肺脊柱旁有1个椭圆形肿块,左下肺有1个结节.CT引导下经皮肺活检证实右下肺肿块为肺隔离症,左下肺结节为隐球菌感染.行电视辅助外科胸腔镜手术切除肺隔离叶,通过口服氟康唑治疗患者左下肺隐球菌结节.术后3年定期随访,增强CT示左下肺隐球菌结节消失,右下肺隔离症术后良好.该文总结了 1例肺隔离症合并隐球菌病的临床表现、治疗及转归,旨在提高临床医师对该病的认识.
Intralobar pulmonary sequestration complicating with pulmonary cryptococcosis:A case report and review of the literature
This study reports a 52-year-old male patient with pulmonary sequestration(PS)and pulmonary cryptococcosis(PC)who was admitted to the hospital due to cough,expectoration,and chest tightness,chest computed tomography(CT)showed an mass beside the spine in the right lower lung and a nodule in the left lower lung.CT-guided percutaneous lung bi-opsy confirmed that the right lower lung mass was pulmonary sequestration and the left lower lung nodule was cryptococcal infection.The patient underwent video-assisted thoracoscopic surgery to remove pulmonary sequestration lobe,and oral flu-conazole was administered for the PC nodule in the left lower lung.The patient was followed regularly for 3 years after sur-gery,and contrast-enhanced CT revealed the disappearance of the PC nodule in the left lower lung,as well as the improved outcome of the right lower pulmonary sequestration after surgery.We summarized the clinical manifestations,treatment and outcome of a case of pulmonary sequestration complicated with cryptococcosis,and aimed to improve clinicians'understand-ing of this disease.

pulmonary sequestrationpulmonary cryptococcosisvideo-assisted thoracic surgeryfluconazole

田菲、王汉生、余丹、任涛

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国药汉江医院检验科,丹江口 442700

太和医院(湖北医药学院附属太和医院)呼吸与危重症医学科,十堰 442000

太和医院(湖北医药学院附属太和医院)病理科,十堰 442000

肺隔离症 肺隐球菌 电视辅助外科胸腔镜 氟康唑

2024

中国真菌学杂志
上海长征医院

中国真菌学杂志

CSTPCD
影响因子:0.557
ISSN:1673-3827
年,卷(期):2024.19(4)