在COVID-19相关的肺性阿斯伯吉洛症后的脏阿斯伯吉洛症:一个病例报告
Roya Ghasemian1, Lale Vahedi Larijani2,3, Kimia Rasouli4
1Department of Infectious Disease Antimicrobial Resistance Research Center, Mazandaran University of Medical Sciences Sari Iran.
Clinical case reports
|September 11, 2023
概括
这一案例突出显示了COVID-19相关的肺性阿斯伯吉洛症之后的第一个性阿斯伯吉洛症. 肺性阿斯伯吉洛症患者的症状可能表明血源性传播,需要立即调查.
科学领域:
- 医学 医学 医学 医学 医学
- 传染性疾病 传染性疾病
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 二次真菌感染是COVID-19的严重并发症.
- 肺阿斯伯吉洛症是COVID-19后的一个常见的真菌感染.
- 脏干扰是一种罕见但显著的并发症.
研究的目的:
- 报告COVID-19相关的肺性阿斯伯吉洛症发生后的第一个性阿斯伯吉洛症病例.
- 强调在患有严重COVID-19和肺阿斯伯吉洛症的患者中考虑脏参与的重要性.
- 强调放射学和组织病理学研究在疑似性阿斯伯吉洛症的诊断实用性.
主要方法:
- 一个67岁的男性患者的案例研究,因COVID-19而入院.
- 和支气管支气管洗分析用于真菌识别.
- 超声波和超声波导向活检用于质量调查.
- 组织病理学和分子学研究为确定的诊断.
主要成果:
- 最初的COVID-19诊断,随后出现发烧和咳的复发,在呼吸道样本中发现了*Aspergillus flavus*.
- 一名为肺部阿斯伯吉洛症治疗沃里康纳的患者.
- 6个月后重新入院,发烧和腹部疼痛,显示脏.
- *Aspergillus flavus* 在脏活检中得到确认.
结论:
- 脏阿斯伯吉洛症是一种罕见但显著的并发症,可在COVID-19患者的肺阿斯伯吉洛症之后出现.
- 临床怀疑脏干扰应由发烧和腹部疼痛等症状引起.
- 及时的放射学和组织病理学评估对于诊断性阿斯伯吉洛症至关重要.
关键词:
根据COVID-19的情况,亚斯珀吉卢斯 (aspergillus flavusus) 是一种植物.案例报告案例报告肺部阿斯伯吉洛斯症 (aspergillosis) 是一种肺部疾病.脏的阿斯伯吉洛症沃里康纳 (Voriconazole) 是一种一种更多相关视频
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