肺部阿斯伯吉洛斯症导致免疫能力强的患者的复发性水肺胸部
Christopher Tang1, Sai Prakesh Vaheisvaran2, Dong Seok Yi2
1Resident Services Unit, Westmead Hospital, Westmead, New South Wales, Australia christopher.tang@health.nsw.gov.au.
BMJ case reports
|November 26, 2025
概括
这份病例报告强调了一名免疫能力强的患者的复发性水肺胸,这是由慢性空腔性肺阿斯伯吉洛症 (CCPA) 引起的. 由于耐火性症状和抗真菌药物相互作用,需要进行手术.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 胸部外科手术 胸部外科手术
背景情况:
- 慢性肺炎 (CCPA) 呈现出基于免疫状况和肺部健康的各种临床表现.
- CCPA可以表现为快速入侵的亚急性形式或缓慢进展的慢性腔腔疾病.
- 复发性水肺胸部是CCPA的一个不常见的表现,特别是在免疫能力强的个体中.
研究的目的:
- 在一个免疫能力强的患者中报告CCPA继发的复发性水肺胸部异常病例.
- 为了说明与CCPA相关的诊断和管理挑战.
- 强调手术干预在耐火性CCPA病例中的作用.
主要方法:
- 一个30岁的男性患有急性呼吸短促和右侧肺胸.
- 诊断工作包括胸部X射线,CT胸部,腹腔液分析和针活检.
- 治疗包括抗真菌疗法,考虑药物相互作用,以及最终的右上叶切除,角化和多发性瘤.
主要成果:
- 扫描显示了右上叶的空气流体水平的球状化病变.
- 阿斯珀吉勒斯的PCR检测在肺部液体和腔边缘活检中呈阳性.
- 患者表现出对医疗管理的不屈不,需要进行手术干预.
结论:
- 这一案例凸显了CCPA作为复发性水肺胸部的潜在原因,即使在免疫能力强的宿主中也是如此.
- 管理CCPA可能是复杂的,涉及抗真菌耐药性和药物相互作用.
- 手术切除可能是一个可行的选择,选择CCPA患者耐药的医疗治疗.
更多相关视频
相关概念视频
Pneumothorax-II
863
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
863
Pneumonia I: Introduction
710
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
710
Pulmonary Tuberculosis I
811
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
811
Pulmonary Tuberculosis II
1.3K
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
1.3K
Pneumothorax-I
1.1K
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
1.1K
Pneumonia III: Complications and Assessment
765
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
765


