一个患有固体瘤的患者的阿斯伯吉尔菌食道炎:一个病例报告
Vanessa Abi Rached1, Karine Azar1, Sarah Gerges1
1School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P. O. Box 446, Jounieh, Lebanon.
Access microbiology
|September 16, 2024
概括
oesophageal aspergillosis 是一种罕见的真菌感染,特别是在固体瘤患者中. 这一案例凸显了癌症患者患有持续性胃肠道症状的迅速诊断和治疗的必要性.
科学领域:
- 医学真菌学 医学真菌学
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- oesophageal aspergillosis 是不常见的,主要在患有血液性恶性瘤的免疫功能低下患者中观察到.
- 固体瘤患者很少受到影响,这使得诊断具有挑战性.
研究的目的:
- 报告一个患有多个固体瘤的老年患者食道阿斯伯吉洛症的独特病例.
- 强调在癌症患者中考虑这种罕见的感染的重要性,癌症患者有耐火性胃肠道症状.
主要方法:
- 一个81岁的男性病例报告,有四个固体瘤的病史,表现为消化不良和体重减轻.
- 诊断程序包括胃镜检查,揭示了死灰,后来证实了阿斯伯吉尔菌食道炎.
- 治疗包括抗真菌疗法 (富可纳,伏利可纳) 和支持性护理.
主要成果:
- 患者最初出现了暗示食道胃结位的症状.
- 尽管接受了治疗,但症状反复出现,导致诊断为阿斯伯菌食道炎.
- 患者出现心周溢血并死亡;在心周液中发现了阿斯伯吉洛斯.
结论:
- 在癌症患者中应考虑食道性阿斯伯吉洛症,这些癌症患者有持续的胃肠道症状,如消化不良和体重减轻.
- 胃肠内镜对于诊断这种罕见但可能致命的疾病至关重要.
- 在临床医生中提高意识对于及时干预至关重要.
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