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題名 | Invasive Pulmonary Mucormycosis Complicating Pneumothorax in a Diabetic Woman--A Case Report=狀似自發性氣胸的肺部白黴菌病--病例報告 |
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作者 | 蔡殷慈; 黃恆慶; 余文良; 楊俊杰; 鄭高珍; Tsai, Yin-tzu; Huang, Heng-ching; Yu, Wen-liang; Yang, Chun-chieh; Cheng, Kuo-chen; |
期刊 | 胸腔醫學 |
出版日期 | 20040800 |
卷期 | 19:4 2004.08[民93.08] |
頁次 | 頁261-266 |
分類號 | 415.434 |
語文 | eng |
關鍵詞 | 白黴菌病; 氣胸; 黴菌肺膿瘍; Mucormycosis; Pneumothorax; Fungal; Lung abscess; |
中文摘要 | 患者為一位四十一歲的女性,因罹患克雷白氏肺炎桿菌所導致的菌血症,合併敗血性休克和血糖過高而住到加護病房治療。在沒有接受呼吸器治療的情況下,卻意外地發現左側肺部有自發性氣胸。經接受胸管插入引流之後,左肺仍然是塌陷的,而且有空氣繼續洩漏而來。手術中發現一顆破裂的肺膿瘍在左下肺葉空洞處。處理報告證實有白黴菌侵犯組織。氣胸在手術後明顯改善,膿胸及肺膿瘍在接受抗黴菌治療和手術引流後也呈現改善,病人痊癒出院後仍繼續在門診追蹤治療中。 |
英文摘要 | A 41-year-old diabetic woman was admitted to our intensive care unit due to Klebsiella pneumoniae bacteremia and septic shock. In the emergency room, left-sided spontaneous pneumothorax was found, however the patient, had no history of preceding trauma. The total collapse of the left lung and persistent air leakage didn't improve with a tube throacostomy. Therefore, an exploratory thoracotomy was performed, and a ruptured lung abscess was noted within the left lower lobe. Histopathological examination demonstrated tissue invasion by Mucor species. The pneumothorax resolved after surgical decortication. The empyema and lung abscess also resolved after surgical drainage and antifungal therapy. The patient recovered and remained well without recurrent pneumothorax during the outpatient follow-up. |
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