患有TM感染的病例,具有具有挑战性的差异诊断,来自瘤脏移植后的淋巴瘤
Sulin Luo1,2,3,4,5, Xingxia Wang1,6, Xue Ren1,7
1Kidney Disease Center, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
BMC infectious diseases
|December 20, 2023
概括
一个移植接受者的塔拉罗米科斯马内菲 (TSM) 感染模仿了淋巴瘤,呈现出胃肠道出血和淋巴腺病变. 早期诊断和用抗真菌和免疫抑制疗法的治疗导致了成功的康复.
科学领域:
- 传染性疾病 传染性疾病
- 移植医学 移植医学 移植医学
- 在瘤学瘤学.
背景情况:
- 胃肠道淋巴瘤可以出现出血,淋巴腺病或穿孔.
- 器官移植增加了移植后淋巴增殖性疾病和机会性感染的风险.
研究的目的:
- 在移植接受者中报告一个模仿淋巴瘤的塔拉罗米科斯马内菲病例 (TSM).
- 突出考虑在移植患者中具有淋巴瘤类症状的TSM的重要性.
主要方法:
- 一个活着的移植患者的病例报告.
- 临床表现包括胃肠道出血和全身淋巴结扩大.
- 诊断通过淋巴结活检和血液培养证实了Tallaromyces marneffei的诊断.
主要成果:
- 患者出现了暗示淋巴瘤的症状.
- 证实了塔拉罗米科斯马尔内菲感染.
- 用抗真菌和免疫抑制疗法成功治疗.
结论:
- 在移植患者中,TSM可以呈现为淋巴瘤类疾病.
- 早期诊断和及时治疗对于有利的结果至关重要.
- 医生应该保持高的TSM怀疑指数在免疫功能低下的患者与相关症状.
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