在中国的肺性菌菌病:病例报告和文献综述
Huanhuan Bi1,2, Feng Hou3, Weizhong Han1
1Department of Respiratory and Critical Care Medicine, the Affiliated Hospital of Qingdao University, Qingdao 266001, China.
IDCases
|November 7, 2024
概括
在中国,肺性菌菌病正在上升,进口病例很常见. 在中国患者中观察到有组织性肺炎和氨酸性肺炎,用皮质类固醇改善,表明预后良好.
科学领域:
- 菌类学 菌类学是指菌类学.
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- 型菌是美国西南部,墨西哥,中美洲和阿根廷特有的真菌感染.
- 在中国,在中国传统的流行地区之外,肺菌菌病的报道越来越多.
- 伴随性疾病和并发症,如组织性肺炎,正在使菌菌病例复杂化.
研究的目的:
- 报告两名中国患者患有由组织性肺炎复杂的肺性菌菌病.
- 审查从1958年到2024年在中国患者中先前报告的42例菌菌病例.
- 分析中国菌菌病的流行病学,临床特征和结果.
主要方法:
- 病例报告:两名患者患有肺性菌菌和有组织性肺炎.
- 在中国患者中对42例菌菌病例的文献综述.
- 对患者人口统计,症状,病例起源 (进口与国内) 和治疗结果的分析.
主要成果:
- 总共分析了44名中国患者 (平均年龄为43.08岁;男性为76.7%).
- 咳和是最常见的症状 (81.8%);病例集中在沿海地区.
- 61.4%的病例是进口的,而38.6%是国内的初级病例. 观察到有组织性肺炎和氨基细胞增加,皮质类固醇治疗改善了结果.
结论:
- 肺性菌菌病是中国的一个新兴问题,其中很大一部分是进口病例.
- 组织性肺炎是一种显著的并发症,皮质类固醇可以有益.
- 准确的诊断,考虑到旅行史,对于有效的管理至关重要,特别是在非特有地区.
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