叶内型肺隔离症合并肺隐球菌病1例并文献复习  

Intralobar pulmonary sequestration complicating with pulmonary cryptococcosis:A case report and review of the literature

作　　者：田菲 王汉生 余丹[3] 任涛[2] TIAN Fei;WANG Hansheng;YU Dan;REN Tao(Department of Laboratory,Sinopharm Hanjiang Hospital,Danjiangkou 442700,China;Department of Pulmonary and Critical Care Medicine,Taihe Hospital,Hubei University of Medicine,Shiyan 442000,China;Department of Pathology,Taihe Hospital,Hubei University of Medicine,Shiyan 442000,China)

机构地区：[1]国药汉江医院检验科,丹江口442700 [2]太和医院(湖北医药学院附属太和医院)呼吸与危重症医学科,十堰442000 [3]太和医院(湖北医药学院附属太和医院)病理科,十堰442000

出　　处：《中国真菌学杂志》2024年第4期389-392,共4页Chinese Journal of Mycology

基　　金：2022年湖北省自然科学基金项目(2022CFB028)。

摘　　要：报道1例52岁男性叶内型肺隔离症合并肺隐球菌病患者,因咳嗽、咳痰和胸闷入院,胸部CT显示右下肺脊柱旁有1个椭圆形肿块,左下肺有1个结节。CT引导下经皮肺活检证实右下肺肿块为肺隔离症,左下肺结节为隐球菌感染。行电视辅助外科胸腔镜手术切除肺隔离叶,通过口服氟康唑治疗患者左下肺隐球菌结节。术后3年定期随访,增强CT示左下肺隐球菌结节消失,右下肺隔离症术后良好。该文总结了1例肺隔离症合并隐球菌病的临床表现、治疗及转归,旨在提高临床医师对该病的认识。This study reports a 52-year-old male patient with pulmonary sequestration(PS)and pulmonary cryptococcosis(PC)who was admitted to the hospital due to cough,expectoration,and chest tightness,chest computed tomography(CT)showed an mass beside the spine in the right lower lung and a nodule in the left lower lung.CT-guided percutaneous lung biopsy confirmed that the right lower lung mass was pulmonary sequestration and the left lower lung nodule was cryptococcal infection.The patient underwent video-assisted thoracoscopic surgery to remove pulmonary sequestration lobe,and oral fluconazole was administered for the PC nodule in the left lower lung.The patient was followed regularly for 3 years after surgery,and contrast-enhanced CT revealed the disappearance of the PC nodule in the left lower lung,as well as the improved outcome of the right lower pulmonary sequestration after surgery.We summarized the clinical manifestations,treatment and outcome of a case of pulmonary sequestration complicated with cryptococcosis,and aimed to improve clinicians'understanding of this disease.

关 键 词：肺隔离症 肺隐球菌 电视辅助外科胸腔镜 氟康唑 

分 类 号：R519.4[医药卫生—内科学]