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題名 | 產後隱球菌肺炎--病例報告=Postpartum Cryptococcal Pneumonia: A Case Report |
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作者姓名(中文) | 陳寬榮; 王喬弘; 詹雲翔; | 書刊名 | 北市醫學雜誌 |
卷期 | 12:2 2015.06[民104.06] |
頁次 | 頁202-206 |
分類號 | 415.463 |
關鍵詞 | 隱球菌肺炎; 懷孕; 產後; Cryptococcal pneumonia; Pregnancy; Postpartum; |
語文 | 中文(Chinese) |
中文摘要 | 目的:隱球菌感染是一個重要的伺機性感染,臨床上以中樞神經系統為好發位置,其次則是肺部感染。通常此症易發生於免疫力低下之病人如HIV感染者,不過免疫力正常的人罹患肺部隱球菌感染亦非罕見。至於在懷孕期間與產後感染隱球菌肺炎,且病人非免疫力低下患者之案例則極少見。病例報告:一位42歲女性,於產後二週入住產後護理之家時,於入住前例行性胸部X光檢查發現右下肺實變,進一步檢查發現血清隱球菌抗原陽性,且肺部切片檢查證實為肺部隱球菌感染。經投與Fluconazole治療半年後,胸部x光有大幅改善。結論:懷孕期間是屬於生理上免疫較為低下的狀況,所以發生肺炎時應將隱球菌感染列為鑑別診斷之一。 |
英文摘要 | Cryptococcus is an opportunistic pathogen with great affinity to immune-compromised hosts, usually among the HIV-infected subjects. The primary tropism is the central nervous system, followed by the lungs. Though, development of cryptococcal pneumonia in immune-competent hosts is not uncommon. Cryptococcal pneumonia in immunocompetent pregnant women and in the postpartum period has been rarely reported. We report a case of cryptococcal pneumonia infection in a 42-yearold woman who was 2 weeks postpartum at the time of her arrival at the hospital. The patient presented with mild cough with scanty sputum and sensation of shortness of breath. The chest X-ray showed right lower lobe consolidation. Both surgical pathology examination and serum cryptococcal Ag examination confirmed the diagnosis of cryptococcal pneumonia, and fluconazole therapy was initiated. Chest X-ray taken 6 months later shows that the lesion was almost totally resolved. Because pregnancy is associated with physiological immune-suppression, cryptococcal pneumonia should be considered in pregnant women, or women in the post-partum period who have respiratory symptoms. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。