慢性肺性菌菌病的手术治疗:从一个单一机构进行的回顾性研究
Hajime Tamura1,2, Hidemi Suzuki3, Takahiro Yamanaka1
1Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, 1-8-1, Inohana, Chuo-Ku, Chiba, 260-8670, Japan.
Surgery today
|August 9, 2023
概括
慢性肺性菌菌,虽然在亚洲很少见,但正在增加. 这个案例系列强调了六名患者的手术治疗,强调了旅行史和成像,以早期诊断这种真菌感染.
科学领域:
- 菌类学 菌类学是指菌类学.
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- 由Coccidioides物种引起的Coccidioidomycosis是美国西南部和墨西哥北部的特有病.
- 虽然在日本和亚洲历史上很少见,但近几十年来菌菌病的发病率上升.
- 型虫的种类具有高度的传染性,需要小心处理和诊断.
研究的目的:
- 介绍一系列慢性肺性菌菌病的病例,这些病例在一个机构中进行了手术治疗.
- 审查临床表现,诊断挑战和肺部菌菌菌的手术治疗.
主要方法:
- 六名患者的回顾性图表审查,这些患者接受了肺部切除术,以肺部菌菌症为由.
- 2007年1月至2021年12月在千叶大学医院收集的数据.
- 分析旅行史,血清学,成像学和组织病理学发现.
主要成果:
- 所有六名患者都有前往美国西南部的旅行史.
- 胸部CT扫描显示,在所有病例中,都有一个单一的,明确的圆形结节.
- 切除结节的组织病理学证实了Coccidioides球状粒体的颗粒体,尽管在一些患者中进行了负面或不确定的手术前测试.
结论:
- 在有相关旅行史和特征性放射学发现的患者中,应考虑肺性皮小菌病.
- 早期的怀疑和诊断至关重要,即使最初的血清学结果是负面的.
- 在样本处理过程中采取严格的预防措施至关重要,以防止有毒性传播.
相关概念视频
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.6K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.6K
01:26COPD: Management Using Bronchodilators and Corticosteroids
244
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
244
01:22Chronic Obstructive Pulmonary Disease
1.3K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.3K
01:20Chronic Obstructive Pulmonary Disease-II: Pathophysiology
2.8K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
2.8K
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
2.8K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.8K