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相關文獻
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題名 | Cryptococcal Empyema in an Immunocompetent Host=免疫力正常宿主得新型隱球菌膿胸 |
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作者 | 陳俊谷; 陳建生; 黃智旺; 劉敏英; | 書刊名 | Journal of Medical Sciences |
卷期 | 24:1 2004.02[民93.02] |
頁次 | 頁49-53 |
分類號 | 415.432 |
關鍵詞 | 免疫力正常; 新型隱球菌; 膿胸; Antifungal therapy; Cryptococcus neoformans; Empyema; Pneumonia; |
語文 | 英文(English) |
英文摘要 | Pulmonary cryptococcosis is a very rare form of pneumonia that is atypical in immunocompetent people. Cryptococcal empyema is a relatively rare complication of cryptococcal disease. We report one such case here. A 21-year-old male suffered from left chest pain and dyspnea for one week and developed pneumonia with empyema. Pathological examination revealed cryptococcosis and chronic granulomatous inflammation. In addition, a serum cryptococcal antigen test was positive so the patient was confirmed as a case of the Cryptococcus neoformans fungal infection. Human immunodeficiency virus (HIV) was not detected. Thoracotomy with decortication and removal of 6th left rib, chest-tube drainage and antifungal therapy proved successful. While relatively rare, the presence of a cryptococcal infection should be considered in the diagnostic evaluation of unexplained pleural empyema/effusion in an immunocompetent host, with a serum cryptococcal antigen test as a suggested diagnostic option. |
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