原发性肺念珠菌病1例报道并文献复习

Primary pulmonary candidiasis:a report of one case and literature review

目的提高对原发性肺念珠菌病的认识。方法回顾性分析我院诊治1例原发性肺念珠菌病的临床和影像学资料。结果患者男55岁,临床表现为不规则发热、咳嗽,双肺呼吸音粗,左下肺可闻及湿啰音?像表现为双肺散在分布的结节状及索条状实变影。(>3次)痰培养:白色念珠菌阳性。结论持续发热>96h,经积极的抗生素治疗无效,具有肺部感染的症状及体征,单发或弥漫分布的小片状阴影,应警惕肺念珠菌病的可能。

Objective To improve understanding on primary pulmonary candidiasis. Methods One case clinieai and imaging data of primary pnhnonary candidiasis was retrospectiveiy analyzed and the literature was reviewed. Results The patient was 55 years old. The clinical features included irregular fever, cough,breath sounds of two lungs were rough, wet rales was heard in the left lower lung. CT manifested presence were nodosity and cord-like consolidation shadows. （more than three times）sputum culture：Candida albicans was positive. Conclusion When patient had fever more than 96 hours, active antibiotic therapy was ineffective, had symptoms and signs of pulmonary infection, showed small patchy shadow in single or widespread distribution, It usually suggests pulmonary candidiasis.