- 期刊
Pulmonary Coccidioidomycosis Diagnosed after Thoracoscopic Lobectomy-Case Report and Literature Review
胸腔鏡肺葉切除手術診斷肺部球胞子菌感染－一病例報告及文獻回顧
摘要
球胞子菌是美國西南部沙漠特有之地區性黴菌。所有在台灣報告之球胞子菌感染皆有疫區的旅遊使。我們報告一個60歲女性因右肺中葉實質化，痰液及支氣管鏡檢查之細菌培養查皆無發現且對完整的經驗性抗生素治療無明顯效果。病人最後接受影像胸腔鏡肺葉切除手術並由病理診斷為球胞子菌感染。據我們所知，這是台灣第一位由影像胸腔鏡肺葉切除手術診斷為肺球胞子菌感染之病例。
並列摘要
Coccidioides spp. is endemic to certain lower deserts in western regions of the United States of America. All patients with coccioidomycosis reported in Taiwan have had a history of travel to endemic areas. In this report, we describe the case of a 60-year-old woman who presented with right middle lobe consolidation that was not responsive to empiric antibiotic treatment. Laboratory examinations of sputum and bronchial washing specimens failed to reveal any microbiological pathogens. She underwent video-assisted thoracoscopic lobectomy of the right middle lobe, and the pathology confirmed the diagnosis of coccidioidomycosis. To our knowledge, this is the first case of pulmonary coccidioidomycosis diagnosed after thoracoscopic lobectomy in Taiwan.
延伸閱讀
- 蕭淑芳、吳英黛、李元麒、陸希平、張逸良（1997）。一塵肺症接受肺臟移植後患者之物理治療介入－病例報告。中華民國物理治療學會雜誌，22(4)，299-308。https://doi.org/10.29616/JPTAROC.199710.0008
- Chen, C. W., Wang, T. H., Yang, W. Y., Tsai, K. B., & Huang, M. S. (2005). 僅以肺葉切除的方式來治癒肺部白黴菌症－病例報告. 胸腔醫學, 20(4), 335-340. https://doi.org/10.29806/TM.200508.0013
- 曾育瑩、江美雪、林玫君、蕭秀鳳、黃靜芝（2020）。【論文摘要】閉塞性細支氣管炎病人接受肺臟移植後肺部復原運動之成效。呼吸治療，19()，72-73。https://doi.org/10.6269/JRT.202010/SP_19.0042
- Lee, I. H., Hsieh, M. S., & Kuo, P. H. (2019). 肋膜肺實質彈性纖維增生合併尋常性間質性肺炎之影像學／病理學變化的個案：案例報告及文獻回顧. 胸腔醫學, 34(5), 221-229. https://www.airitilibrary.com/Article/Detail?DocID=10239855-201910-201911060009-201911060009-221-229
- 陳虹如（2018）。胸腔手術後患者介入肺部復原及合併非侵襲呼吸器之成效分析:回溯性研究〔碩士論文，高雄醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0011-2308201817415600