肺动因菌病伪装成恶性病变
Sugeesha Wickramasinghe1, John Timerick2, Irshad Fahd1
1Department of Respiratory Medicine Lancashire Teaching Hospitals Preston UK.
Respirology case reports
|February 2, 2026
概括
这项案例研究显示,一种真菌感染,模仿老年患者肺癌的行为菌症. 它强调了在评估可疑的肺部发现时考虑各种诊断的重要性,包括罕见的感染.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 慢性咳和体重减轻是需要差异诊断的常见症状.
- 像结节和树在芽模式这样的成像发现可以表明恶性瘤或感染.
- 支气管阻塞需要调查,以确定潜在的原因.
研究的目的:
- 为了呈现一个模仿肺癌的肺动因菌病的病例.
- 突出菌感染呈现为瘤病变所带来的诊断挑战.
- 强调在呼吸系统医学中广泛差异诊断的重要性.
主要方法:
- 一个81岁的前吸烟者的案例报告.
- 对成像研究的审查,包括CT扫描发现 (结节,树,阻塞).
- 支气管镜检查与活检和组织病理学分析.
主要成果:
- 图像检查显示右上叶结节,树变化和支气管阻塞.
- 支气管镜检查发现了右上叶支气管中的多重形质体.
- 组织学证实了行为菌,一种不寻常的真菌感染.
结论:
- 肺性动因菌症可以呈现出暗示恶性瘤的成像发现.
- 在怀疑肺癌的情况下,考虑和排除感染性病因,如形菌,至关重要.
- 扩大差异诊断对于准确的患者管理至关重要.
相关概念视频
Pulmonary Tuberculosis I
963
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...
963
Pulmonary Tuberculosis II
1.5K
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...
1.5K
Pulmonary Tuberculosis V
620
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
620
Other Pulmonary Disorders
1.7K
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
1.7K
Overview of Pulmonary Circulation
3.1K
The pulmonary circulation is a vital system in our body that acts as a bridge between the respiratory and cardiovascular systems. It serves as a transport network for deoxygenated blood from the heart to the lungs and then returns oxygen-rich blood back to the heart.
The process begins with the right ventricle of the heart pumping deoxygenated blood into the pulmonary trunk. This large vessel extends about 5 centimeters before splitting into the left and right pulmonary arteries. These arteries...
The process begins with the right ventricle of the heart pumping deoxygenated blood into the pulmonary trunk. This large vessel extends about 5 centimeters before splitting into the left and right pulmonary arteries. These arteries...
3.1K
Factors Affecting Pulmonary Ventilation
3.2K
Besides the pressure difference between the external environment and the lungs, the airflow rate and ease of pulmonary ventilation are also influenced by three other factors: surface tension of the fluid in the alveoli, compliance of the lungs, and airway resistance.
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
3.2K


