在没有任何可识别的风险因素的情况下,儿童的侵入性阿斯伯吉洛症
Surbhi Kumari1, Pallavi Pallavi1, Vagata Ram1
1Department of Pediatrics, Maulana Azad Medical College, New Delhi, India.
Indian journal of medical microbiology
|January 11, 2026
概括
侵入性阿斯伯吉洛症在儿童中难以诊断,即使在没有危险因素的儿童中也是如此. 一个健康的男孩患上了这种罕见的真菌感染,最初模仿结核病或淋巴瘤.
科学领域:
- 儿童传染病 儿童传染病
- 菌类学 菌类学是指菌类学.
- 临床病例报告 临床病例报告
背景情况:
- 侵袭性阿斯伯吉洛症的诊断往往由于与常见的儿童疾病的重叠症状而延迟.
- 这种机会性真菌感染在免疫能力较强的儿童中很少见,因此很难早期识别.
- 典型的危险因素包括中性质减退,长期使用皮质类固醇和血液恶性瘤.
研究的目的:
- 在健康的儿童中报告一种罕见的侵入性阿斯伯吉洛症病例.
- 为突出突出侵袭性阿斯伯吉洛症的非典型表现所带来的诊断挑战.
- 强调在患有持续不明原因症状的儿科患者中考虑真菌感染的重要性.
主要方法:
- 一个亚洲年轻男孩的案例研究,患有持续发烧,淋巴腺病和心周溢出.
- 临床评估,实验室检查和淋巴结活检与真菌培养.
- 考虑了包括结核病和淋巴瘤在内的差异诊断.
主要成果:
- 患者出现了模仿结核病或淋巴瘤的症状.
- 淋巴结培养意外地揭示了Aspergillus flavus,证实了侵入性阿斯伯吉洛症.
- 由于没有典型的危险因素,诊断是具有挑战性的.
结论:
- 侵入性阿斯伯吉洛症可以在没有传统风险因素的健康儿童中发生.
- 儿童持续发烧和淋巴腺病症需要广泛的差异诊断,包括真菌感染.
- 这一案例强调了需要提高儿童群体对侵袭性阿斯伯吉洛症的认识.
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