黄作为帕拉科科西多伊多米科西斯的开始
Teresa García Ballester1, Sheila González Padilla2, Rosana Villagrasa Manzano3
1Digestive Medicine, Hospital Clinico Universitario de Valencia , España.
Revista espanola de enfermedades digestivas
|January 9, 2025
概括
一名患有黄的巴西男子被诊断出患有帕拉科基多伊多米科斯,一种模仿淋巴增殖综合征的真菌感染. 这一案例强调了在流行地区诊断泛性淋巴腺病时考虑流行性菌根病.
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.
- 胃肠病学 胃肠病学
背景情况:
- 帕拉科西迪奥多米科斯是一种在拉丁美洲的特有系统性真菌菌.
- 它可以呈现出各种不同的临床表现,经常模仿其他疾病.
- 泛性淋巴腺病是常见的特征,但胰腺-双腺槽质量很少见.
研究的目的:
- 报告一种罕见的帕拉科西多伊多米科斯病例,呈现为胰腺-双腺槽质量.
- 突出在不解释的淋巴腺病变的差异诊断中考虑特有菌根病的重要性.
- 强调EUS指导的FNA在诊断具有挑战性的传染病中的实用性.
主要方法:
- 来自巴西的24岁男性患者的病例报告.
- 诊断工作包括腹部CT和内镜超声波 (EUS).
- 淋巴结的EUS引导细针吸收 (EUS-FNA) 用于细胞病理学分析.
主要成果:
- 图像检查显示胰腺-双腺沟质量,肝内通道扩张和淋巴腺病变.
- 最初的差异诊断包括淋巴增殖综合征.
- 细胞病理学分析证实了淋巴结吸收的帕拉科西迪奥伊多米科斯.
结论:
- 帕拉科西迪奥伊多米科斯可以呈现出模仿恶性瘤或淋巴增殖性疾病的腹部表现.
- 在患有泛性淋巴腺病的来自特有地区的患者中,应考虑特有菌根.
- EUS-FNA是诊断深部淋巴结中的偏性淋巴结病的一个有价值的工具.
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