散播性基因质菌病:一个发烧的年轻人的漫长旅程
Sudip Kumar Banik1, Chowdhury Adnan Sami2, Md Mizanur Rahman Khan1
1Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka; Bangladesh.
Medical mycology case reports
|July 30, 2024
概括
一名年轻男性在经历了18个月的错误诊断和无效的抗结核治疗后,被诊断出一种真菌感染 - - 传播性组织等离子体. 对患有持续症状的患者来说,早期考虑替代诊断至关重要.
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.
- 内部医学 内部医学
背景情况:
- 一名19岁的男性出现了长期发烧,体重减轻,皮疹和淋巴腺症.
- 他接受了广泛的抗结核治疗超过一年,因为最初的淋巴结活检表明结核病.
研究的目的:
- 报告一个被误诊为结核病的散布性细胞质素病例.
- 强调在不响应病例中考虑替代诊断的重要性.
主要方法:
- 在班加邦杜谢赫穆吉布医学大学 (BSMMU) 进行临床介绍和诊断工作.
- 活检分析显示非化颗粒瘤与周期性酸-Schiff (PAS) 染色对酵母细胞呈阳性.
- 菌培养证实双形真菌暗示的质体.
主要成果:
- 这位患者在经历了18个月的疾病后被诊断出患有传播性基因质.
- 用脂质体安福特里辛B和伊特拉科纳治疗导致发烧完全消失,健康状况改善,体重增加,皮肤病变愈合.
结论:
- 尽管有抗结核疗法,但持续的,无法解释的症状需要更广泛的差异诊断.
- 在流行地区应考虑传播性基因质菌病,特别是在怀疑结核病但未得到证实或对治疗没有反应时.
更多相关视频
09:57Passive Administration of Monoclonal Antibodies Against H. capsulatum and Others Fungal Pathogens
Published on: February 14, 2011
11.9K
09:02An Experimental Model to Study Tuberculosis-Malaria Coinfection upon Natural Transmission of Mycobacterium tuberculosis and Plasmodium berghei
Published on: February 17, 2014
19.8K
相关概念视频
Pulmonary Tuberculosis II
215
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
215
Pulmonary Tuberculosis III
316
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
316
Pulmonary Tuberculosis I
228
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...
228
Pulmonary Tuberculosis IV
134
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...
134
