查詢結果分析
來源資料
相關文獻
- An Uncommon Lobar Consolidation of Cryptococcal Pneumonia in an Immunocompetent Host: Case Report and Literature Review
- Coinfection with Pulmonary Tuberculosis and Cryptococcosis in an Immunocompetent Individual--A Case Report
- Disseminated Mycobacterium avium complex Infection Mimicking Metastatic Lung Cancer in an Immunocompetent Patient--A Case Report and Literature Review
- False Positive and False Negative Results of F-l8 FDG PET/CT Scan for Lung Lesions, a Report of 2 Cases
- Pulmonary Alveolar Proteinosis Complicated with Cryptococcal Pneumonia--A Case Report
- 巨細胞病毒再活化對免疫功能正常重症患者之影響
- 新型隱球菌肺炎:影像與治療
- 產後隱球菌肺炎--病例報告
- Herpes Simplex Virus Esophagitis in an Immunocompetent Patient: Report of a Case
- Pneumocystis Jiroveci Pneumonia with Adult Respiratory Distress Syndrome in an Immunocompetent Patient--A Case Report
頁籤選單縮合
題 名 | An Uncommon Lobar Consolidation of Cryptococcal Pneumonia in an Immunocompetent Host: Case Report and Literature Review=罕見大葉性隱球菌肺炎在免疫正常患者的臨床表現病例報告及文獻回顧 |
---|---|
作 者 | 郭仲華; 王家弘; | 書刊名 | 胸腔醫學 |
卷 期 | 26:1 2011.02[民100.02] |
頁 次 | 頁39-45 |
分類號 | 415.463 |
關鍵詞 | 隱球菌肺炎; GMS銀染色; 免疫健全; Cryptococcal pneumonia; Gomori-methenamine stain; GMS; Immunocompetent; |
語 文 | 英文(English) |
中文摘要 | 大葉性隱球菌肺炎在免疫正常病患文獻鮮少提及且相當罕見。我們提出一位25歲免疫功能正常的女性病患藉由高效價隱球菌血清抗原(SCA>1:10240)以及支氣管肺泡沖刷術(Bronchoalveolar lavage, BAL),Gomeri methenamide silver(GMS)細胞學銀染色確診為大葉性隱球菌肺炎。在免疫不全病人或臨床懷疑腦膜炎患者皆需要施行腰椎穿刺腦髓液分析以排除隱球菌腦膜炎的可能性。高效價隱球菌血清抗原很少表現在單獨隱球菌肺炎患者,在肺外散播或中樞神經感染或免疫不全、甚至嚴重大葉性肺炎等患者較為常見。在免疫功能正常的隱球菌肺炎患者,目前台灣感染症醫學會黴菌治療指引建議Fluconazole每日200~400mg持續治療6至12個月。 |
英文摘要 | Lobar consolidation of cryptococcal pneumonia is rarely reported in immunocompetent hosts. We report a healthy 25-year-old woman who presented with pneumonia in her left lower lobe. A poor response to empiric antibiotics was noted, and a subsequent investigation disclosed high titers of serum cryptococcal antigen (CSA titer >1:1024). Gomori-methenamine silver staining of bronchoalveolar lavage fluid disclosed cryptococci with a cryptococcal antigen titer of 1:128. The patient's symptoms improved with resolution of the consolidation of the left lower lobe of the lung after treatment with fluconazole. We also reviewed the literature. |
本系統中英文摘要資訊取自各篇刊載內容。