肺毛霉病1例并文献复习  

A case of pulmonary mucormycosis and literature review

作　　者：王冉 张晓华 徐波 吴晓飞 WANG Ran;ZHANG Xiaohua;XU Bo;WU Xiaofei(Department of Emergency Internal Medicine,The First Affiliated Hospital of Bengbu Medical University,Bengbu 233000,China)

机构地区：[1]蚌埠医科大学第一附属医院急诊内科,蚌埠233000

出　　处：《中国真菌学杂志》2025年第1期69-72,共4页Chinese Journal of Mycology

摘　　要：患者,女,83岁,以“发热伴咳嗽、咳痰2 d”为主诉入院。患者有糖尿病病史,两肺多发感染性病变伴两侧胸腔积液、纵膈淋巴结肿大,第1次痰培养结果为烟曲霉、小孢根霉复合群,第2次痰培养结果为小孢根霉复合群。给予注射用艾沙康唑治疗2周后改为口服艾沙康唑,症状明显好转,住院治疗27 d后出院继续口服艾沙康唑,治疗3个月复查胸部CT明显吸收。An 83 year-old female was admitted to hospital with“fever with cough and sputum for 2 days”as the main complaint.The patient had a history of diabetes,multiple infectious lesions in both lungs with bilateral pleural effusion and mediastinal lymph node enlargement.The complex group of Aspergillus fumigatus and Rhizopus microsporus was cultured in the first sputum,and the complex group of Rhizopus microsporus was cultured in the second sputum.After 2 weeks treatment of esaconazole injection,oral esaconazole was substituted,and symptoms improved significantly.After 27 days of hospitalization,he was discharged and continue to oral esaconazole.Chest CT reexamination after 3 months of treatment showed obvious absorption.

关 键 词：肺毛霉病 艾沙康唑 糖尿病 

分 类 号：R519.8[医药卫生—内科学]