肺移植受体体体内支气管内菌 - 细胞内感染
Shamitha Hejmadi1, Rutvik Raval1, Atul C Mehta2
1Internal Medicine, B.J. Medical College, Ahmedabad, India.
Transplantation proceedings
|February 28, 2025
概括
在一个肺移植接受者身上发现了一种罕见的内支气管内 Mycobacterium avium-intracellulare (MAI) 感染. 即使没有症状,通过支气管镜检测早期检测对于治疗移植后的非典型感染至关重要.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 移植医学 移植医学
背景情况:
- 在移植受体中, Endobronchial Mycobacterium avium-intracellulare (MAI) 感染并不常见.
- 肺移植患者特别容易感染机会性感染.
研究的目的:
- 在双边肺移植接受者中报告一种单一的内支气管MAI感染病例.
- 突出这一群体中非典型感染的监测的重要性.
主要方法:
- 一个48岁的男性肺移植接受者的案例研究,他有煤矿工人肺炎病史.
- 常规监测支气管镜检查显示了支气管内膜病变.
- 活检和培养证实了MAI感染.
主要成果:
- 在移植后10个月的常规监测支气管镜检查期间发现了多体内支气管病变.
- 活检显示了非死性颗粒状炎症.
- 培养证实了Mycobacterium avium细胞内感染的发生.
结论:
- 在肺移植接受者中,MAI感染的高度怀疑指数是必要的,即使是无症状的呈现.
- 这个案例扩大了对移植后并发症的理解,并有助于识别类似的表现.
- 通过支气管镜检查进行早期诊断对于管理肺移植患者的MAI至关重要.
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