社区获得性地方性真菌感染研究进展

Research progress on community-acquired endemic fungal infections

地方性真菌感染是社区获得性肺炎的重要原因,流行病学有明显的地域分布,但经常发生在流行区以外的地区.本文综述近年相关文献,着重论述目前在北美地区发生的引起社区获得性肺炎的3个主要地方性真菌病,即球孢子菌病、组织胞浆菌病和芽生菌病的流行病学、临床表现、影像学特征、诊断方法和当前的治疗策略.以期引起临床重视,防止误诊、漏诊发生.

Local fungal infection is an important cause of community-acquired pneumonia,has distinct geographical distributions in epidemiology,but often occurs in the region outside epidemic areas.This paper reviews the recent literatures,focuses on the epidemiology,clinical manifestations,imaging features,diagnosis and treatment methods of the three major local fungal diseases currently occurred in North America area causing community-acquired pneumonia,including coccidioidomycosis,histoplasmosis,and blastomycosis,in order to cause clinical attention,prevent misdiagnosis and missed diagnosis.