摘要
自1979年至1991年間，共有7位病童在台大醫院小兒科經由內視鏡檢查、黴菌培養或組織學檢查診斷為黴菌性食道炎。此七例所分離出的黴菌主要為Candida albicans，次為Candida kruseii，Trichosporon cutaneum，Trichosporon beigelli以及Rhodoturula rubra。其內視鏡下之所見皆相似。七例中最常見之臨床表現為上消化道出血，而以食道之下段最常受侵犯。七例中只有一人伴有鵝口瘡。小兒大多不易表現出典型成人常見之食道炎症狀，如吞嚥困難等，而往往在較重症時方確立診斷。
關鍵字
無資料並列摘要
Seven patients were endoscopically diagnosed as having a fungal esophagitis with mycologic or histologic support for the diagnosis from 1979 to 1991 in the Department of Pediatrics, National Taiwan University Hospital. The major causative agent was Candida albicans. Other fungi isolated were Candida Krusei, Trichosporon cutaneum, Trichosporon beigelii, and Rhodotorula rubra, but they all resembled one another under endoscopic examination. The most common presenting symptom was hematemesis, and the lower part of the esophagus was more often involved. Only one patient was documented to have oral thrush. Most of the children did not present typical symptoms of esophagitis such as dysphagia or odynophagia, and they tended to be in more advanced stages of the disease when the diagnosis was made.
延伸閱讀
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