血清 - - 一个伟大的入侵者,即使在免疫能力强的患者身上也是如此
Sudip Kumar Banik1, Tania Tofail2, Muhammad Sayedul Arefin3
1Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
Radiology case reports
|February 10, 2025
概括
传播性基因质瘤 (DH) 可以影响免疫能力强的个体,呈现出不寻常的症状. 这一案例突出显示了多系统参与症患者用伊特拉可纳治疗的成功.
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
- 免疫学 免疫学 免疫学
背景情况:
- 传播性基因质瘤 (DH) 是由Histoplasma capsulatum引起的深层真菌感染.
- 它主要影响免疫功能低下的个体,但可以发生在免疫能力强的宿主中.
- 在免疫能力较强的患者中,DH往往无法被识别.
研究的目的:
- 在免疫能力强的个体中报告罕见的DH病例.
- 要突出非典型的临床表现的DH.
- 在资源有限的环境中讨论治疗结果.
主要方法:
- 一个55岁的免疫能力强的男性的病例报告.
- 诊断调查包括上腺质量的细胞病理学和十二指甲状腺组织病理学.
- 由于成本限制,所接受的治疗是伊特拉可纳.
主要成果:
- 患者表现为消化不良,吐,言语不清,半和体重减轻.
- 调查显示了双边上腺体质量,大脑病变,十二指甲腺节,肺部质量.
- 在上腺和十二指腺组织中鉴定出血囊体.
- 在伊特拉科纳治疗4个月后,观察到临床改善和体重增加.
结论:
- 肝炎可以表现出除了发烧和咳之外的非典型症状,包括神经系统缺陷.
- 在免疫能力较强的患者中,多系统参与需要考虑深层真菌感染.
- 伊特拉科纳可以作为一种有效的DH替代治疗方法,当脂质体安福特里辛B不可行时.
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