在患有严重登革热的危急病患者中Aspergillus共感染
Yang-Han Lin1, Ting-Chia Chang2, Wen-Liang Yu3
1Department of Intensive Care Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Journal of infection and public health
|October 22, 2023
概括
这项研究调查了台湾的登革热和阿斯伯吉洛症共感染情况. 两名患有登革热的免疫能力强的患者患有肺部阿斯伯吉洛症,突出显示了潜在的临床问题.
科学领域:
- 传染性疾病 传染性疾病
- 菌类学 菌类学是指菌类学.
- 关键护理医学 关键护理医学
背景情况:
- 登革热的爆发可能会给医疗保健系统带来压力,并且存在关于病毒相关的阿斯伯吉洛症的新兴担忧.
- 涉及登革热病毒和Aspergillus物种的共感染的研究是有限的,特别是在重症监护机构.
- 台湾南部在2014-2015年经历了严重的登革热疫情,随后发病率下降.
研究的目的:
- 为了调查登革热患者进入重症监护室的肺性阿斯珀吉洛斯病的发生情况.
- 在免疫能力强的患者中描述登革热和阿斯伯吉洛症的同时感染.
主要方法:
- 2015年7月至11月,对2015年7月至11月在台湾南部的重症监护室 (ICU) 住院的登革热患者进行了回顾性研究.
- 诊断测试的分析,包括血清和支气管支气管洗 (BAL) 银曼南试验,用于阿斯伯吉洛症.
- 连续两名患者的病例报告,确诊的登革热和肺部阿斯伯吉洛症共感染.
主要成果:
- 在142名登革热患者中,只有8.06% (10/142) 接受了血清银曼南检测.
- 一名患者接受了BAL银河曼南测定.
- 20% (2/10) 的患者接受了血清银河甘测试,结果呈阳性.
- 两名患有登革热的免疫能力强的患者被诊断出患有肺性阿斯伯吉洛症.
结论:
- 登革热和肺部阿斯伯吉洛症的同时感染可能发生在免疫能力强的患者中.
- 在研究的登革热患者队列中进行了对阿斯伯吉洛症的有限诊断测试.
- 进一步的研究是有必要的,以了解登革热-阿斯伯吉洛症共感染的临床意义和诊断挑战.
相关概念视频
Pulmonary Tuberculosis IV
145
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
145
Pneumonia III: Complications and Assessment
242
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
242
Pulmonary Tuberculosis I
246
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
246
Acute Respiratory Failure-II
249
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
249
Acute Respiratory Failure-III
190
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
190
Acute Respiratory Failure-I
220
Acute respiratory failure is a condition characterized by the inability of the lungs to perform their primary function: gas exchange. This failure leads to insufficient oxygen levels (hypoxemia) in the blood, elevated carbon dioxide levels (hypercapnia), or both, causing critical impairment in organ function.
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
220


