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胸腔病例(三五五)薰煙麴菌肺炎

摘要


麴菌(aspergillosis)感染,大部分都是以暴露到其孢子而受到感染居多,但是實際上形成侵入性的麴菌感染則少見,主要都是因為宿主免疫力低下才有機會發生。大部份以薰煙麴菌(A. fumigatus)、黃麴菌(A. flavus)、黑麴菌(A. niger)和土麴菌(A. terreus)感染為主,主要對抗麴菌感染的策略是以早期診斷早期治療為主。

參考文獻


1. Singh N, Husain S, Practice ASTIDCo. Aspergillosis in solid organ transplantation. Am J Transplant 2013;13:228-41.
2. Greene RE, Schlamm HT, Oestmann JW, et al. Imaging findings in acute invasive pulmonary aspergillosis: clinical significance of the halo sign. Clin Infect Dis 2007;44:373-9
3. Rossi SE, Franquet T, Volpacchio M, et al. Tree-in-bud pattern at thin-section CT of the lungs: radiologic-pathologic overview. Radiographics 2005;25:789-801.
4. Patterson TF, Thompson GR, Denning DW, et al. Practice Guidelines for the Diagnosis and Management of Aspergillosis: 2016 Update by the Infectious Diseases Society of America. Clin Infect Dis 2016;63:e1-60.
5. Cornely OA, Maertens J, Winston DJ, et al. Posaconazole vs. fluconazole or itraconazole prophylaxis in patients with neutropenia. N Engl J Med 2007;356:348-59.

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