- 期刊
Mucormycosis-Related Mycotic Pulmonary Artery Pseudoaneurysm: A Case Report
白黴菌病併發肺動脈假性動脈瘤－病例報告與文獻回顧
摘要
白黴菌病主要發生在糖尿病病患或免疫不良的病患，影響的部位包括鼻眼腦區域、肺部、皮膚等處。我們在此報告一位75歲曾經罹患肝膿氱及糖尿病病史的女性，該病患因咳血入院，住院期間持續咳血及併發皮下氣腫，同時在胸部Ｘ光影像出現快速增大之腫塊。透過肺部電腦斷層影像，我們診斷出該病患罹患肺動脈假性動脈瘤；該病患接受右中肺葉暨右下肺葉切除術，並藉由病理學檢察，診斷出白黴菌病肺部感染導致肺動脈假性動脈瘤。雖然給予適當的抗生素藥物治療，最終仍無法控制病患肺部的感染，並且導致死亡。在此個案報告中，我們了解到了白黴菌病的高度侵犯性；臨床醫師宜早期診斷，並且給予適當的抗生素藥物治療。
並列摘要
Mucormycosis is an uncommon infectious fungal disease that mostly affects immunocompromised patients or those with diabetes mellitus. Rhino-orbital-cerebral, pulmonary, or cutaneous invasion is often seen; however, mucormycosis-related mycotic aneurysm and pseudoaneurysm are relatively rare. Few cases have been reported in the past decade. In this report, we share a case of mucormycosis-related mycotic pulmonary artery pseudoaneurysm complicated by chest wall fasciitis. Mucormycosis is usually accompanied with a poor prognostic outcome, but early diagnosis and appropriate management may reduce the rate of mortality.
延伸閱讀
- Shen, C. H., Peng, C. K., Perng, W. C., & Wu, C. P. (2009). 黏液性肺腺癌病患併發自發性肺扭轉－病例報告及文獻回顧. 胸腔醫學, 24(5), 274-280. https://doi.org/10.29806/TM.200910.0005
- Jhan, J. Y., Chang, C. C., Shih, Y. M., Tai, H. C., & Lin, C. H. (2014). 一位糖尿病酮酸血症患者併發肺部及鼻眼腦白黴菌病：病例報告與文獻回顧. 胸腔醫學, 29(1), 32-38. https://www.airitilibrary.com/Article/Detail?DocID=10239855-201402-201401280018-201401280018-32-38
- 楊斐適、黃榮貴、楊東傑（1984）。原發性氣管癌－病例報告及文獻回顧。中華放射線醫學雜誌，9(4)，353-357。https://www.airitilibrary.com/Article/Detail?DocID=10188940-198412-9-4-353-357-a
- Jiang, B. Y., Shieh, W. B., Huang, T. J., Hua, C. C., & Yu, T. R. (2002). 支氣管放線菌症合併肺部非結核性分枝桿菌症：病例報告及文獻回顧. 胸腔醫學, 17(2), 137-142. https://www.airitilibrary.com/Article/Detail?DocID=10239855-200206-17-2-137-142-a
- Liu, W. L., Ku, S. C., & Yang, P. C. (2006). 肺部轉移性惡性黑色素細胞瘤合併支氣管內侵犯－一病例報告與文獻回顧. 胸腔醫學, 21(2), 182-189. https://doi.org/10.29806/TM.200604.0007