侵袭性气管支气管曲霉菌病的特点附视频

被引:5
作者
李冠华 [1 ]
乔晟 [2 ]
李月川 [1 ]
机构
[1] 天津市胸科医院RIU
[2] 天津市胸科医院肺功能科
关键词
气管; 支气管; 曲霉菌;
D O I
暂无
中图分类号
R519 [真菌与放线菌传染病];
学科分类号
100201 [内科学];
摘要
侵袭性气管支气管曲霉菌病(ITBA)是一种相当少见的曲霉菌相关的肺部疾患,仅在一小部分患者中单独的或合并侵袭性肺曲霉菌病(IPA)存在,或者是存在于IPA的早期。曲霉菌可以导致各种致命的呼吸道曲霉菌病。免疫功能正常者同样可以罹患呼吸道曲霉菌感染。ITBA的放射学表现是非特异性的。当临床怀疑曲霉菌累及呼吸道时应立即行纤维支气管镜检查。ITBA的确诊依据是曲霉菌侵袭深及受累呼吸道的基膜。ITBA的预后更多的依赖于基础疾病情况而不是曲霉菌呼吸道受累的形式,更大程度上是由感染宿主的免疫状态所决定的。
引用
收藏
页码:2577 / 2579
页数:3
相关论文
共 11 条
[1]
无免疫缺陷者侵袭性气道肺曲霉病的支气管镜和胸部CT表现[J] 李玉苹;陈成水;叶民;叶君如;周颖;吴秀玲; 中华结核和呼吸杂志 2009, 06
[2]
Procalcitonin Serum Concentration in Lung Transplant Recipients During Mold Colonization or Infection[J] Transplantation Proceedings 2011,
[3]
Feasibility; tolerability; and outcomes of nebulized liposomal amphotericin B for Aspergillus infection prevention in lung transplantation[J] Víctor Monforte;Piedad Ussetti;Joan Gavaldà;Carles Bravo;Rosalia Laporta;Oscar Len;Cristina López García-Gallo;Lluís Tenorio;Joan Solé;Antonio Román Journal of Heart and Lung Transplantation 2010,
[4]
Isolated invasive Aspergillus tracheobronchitis: a clinical study of 19 cases[J] N.Wu;Y.Huang;Q.Li;C.Bai;H.‐D.Huang;X.‐P.Yao Clinical Microbiology and Infection 2010,
[5]
Pseudomembranous Aspergillus tracheobronchitis in a heart transplant recipient[J] A.Ramos;J.Segovia;M.Gómez‐Bueno;C.Salas;M.T.Lázaro;I.Sanchez;L.Pulpón Transplant Infectious Disease 2010,
[6]
Combination antifungal treatment of pseudomembranous tracheobronchial invasive aspergillosis: a case report[J] Francesco G. Rosa;Pierpaolo Terragni;Daniela Pasero;Anna C. Trompeo;Rosario Urbino;Anna Barbui;Giovanni Di Perri;V. Marco Ranieri Intensive Care Medicine 2009,
[7]
Ulcerative and pseudomembranous Aspergillus tracheobronchitis in a patient with acute myeloid leukemia[J] International Journal of Hematology 2009,
[8]
Invasive fungal infections in lung transplantation: role of aerosolised amphotericin B[J] Amparo Solé International Journal of Antimicrobial Agents 2008,
[9]
Aspergillus Galactomannan Antigen in the Bronchoalveolar Lavage Fluid for the Diagnosis of Invasive Aspergillosis in Lung Transplant Recipients[J] Shahid Husain;David L. Paterson;Sean M. Studer;Maria Crespo;Joseph Pilewski;Michelle Durkin;Joseph L. Wheat;Bruce Johnson;Lisa McLaughlin;Christopher Bentsen;Kenneth R. McCurry;Nina Singh Transplantation 2007,
[10]
Pseudomembranous and obstructive Aspergillus tracheobronchitis – optimal diagnostic strategy and outcome[J] Mycoses 2005,