一种罕见的肌肉炎和扩散膜出血的呈现,与散布的Cryptococcus neoformans感染有关
Srujan Edupuganti1, Deepesh Yadav2,3, Manoj Upadhyay4
1Internal Medicine/Pediatrics, Hurley Medical Center, Flint, USA.
Cureus
|August 21, 2023
概括
这份病例报告强调了一种罕见的Cryptococcus neoformans感染病例,在免疫功能低下的患者中最初呈现出皮疹和肌痛. 尽管接受了治疗,但患者因严重的真菌感染和并发症而死亡.
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
- 临床病例报告 临床病例报告
背景情况:
- 加密球菌病是一种由Cryptococcus物种引起的真菌感染,通常影响免疫力低下的个体.
- 感染通常在吸入后在肺部开始,并且可以根据宿主免疫力以各种方式表现出来.
- 本报告详细介绍了加密菌病的独特呈现和具有挑战性的管理.
研究的目的:
- 为了呈现一种罕见的Cryptococcus neoformans感染病例,具有不寻常的初始症状.
- 讨论传播性加密球菌病的诊断挑战和治疗过程.
- 强调考虑复杂表现的免疫受损患者的真菌感染的重要性.
主要方法:
- 一份病例报告,详细介绍患者的临床表现,诊断工作和治疗.
- 审查最初的症状,包括皮疹,关节痛,肌痛和肌肉.
- 诊断程序包括实验室检测,成像 (MRI),活检和带有支气管支气管洗的支气管镜检查.
主要成果:
- 最初的表现包括皮疹,肌痛和肌肉,以及负面的类风湿治疗.
- 患者在服用类固醇和修复药时经历了初步改善,但患有呼吸困扰和扩散膜出血.
- 随后的支气管镜检查显示了塞拉蒂亚,甘地达,并最终在支气管膜洗和血液培养中发现了Cryptococcus neoformans.
结论:
- 克里普托科库斯新型菌可以呈现异常症状,模仿其他疾病.
- 及时和准确的诊断至关重要,特别是在免疫功能低下的患者中,呼吸系统症状恶化.
- 传播性加密球菌病,特别是在多种感染的情况下,尽管有积极的治疗,但死亡率很高.
关键词:
这种疾病叫做cryptococcosis.克里普托可克菌菌性肌炎 (Cryptococcus myositis) 是一种新型病毒.扩散性气泡膜出血 扩散性气泡膜出血传播的加密球菌neoformans.肌肉活组织活检 肌肉活检肌肉性肌肉性炎症 肌肉性肌肉炎更多相关视频
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