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中国防痨杂志 ›› 2017, Vol. 39 ›› Issue (12): 1353-1358.doi: 10.3969/j.issn.1000-6621.2017.12.019

• 临床病例讨论 • 上一篇    下一篇

一例马尔尼菲青霉菌病误诊为结核病的临床诊治过程分析

刘小玉, 盛健, 蒋钰辉, 戴希勇, 雷美, 陈军, 袁保东   

  1. 430030 武汉市肺科医院外科(刘小玉、盛健、蒋钰辉、戴希勇),结核科(袁保东),病理科(雷美),检验科(陈军)
  • 收稿日期:2017-08-09 修回日期:2018-01-10 出版日期:2017-12-10 发布日期:2018-01-11
  • 通信作者: 袁保东,Email:490462008@qq.com
  • 基金资助:

    武汉市卫生计生科研基金资助(WX17C23)

Diagnosis and treatment analysis of one case of penicilliosis marneffei misdiagnosed as tuberculosis

LIU Xiao-yu, SHENG Jian, JIANG Yu-hui, DAI Xi-yong, LEI Mei, CHEN Jun, YUAN Bao-dong   

  1. Department of Surgery,Wuhan Pulmonary Hospital, Wuhan 430030, China
  • Received:2017-08-09 Revised:2018-01-10 Online:2017-12-10 Published:2018-01-11
  • Contact: YUAN Bao-dong, Email: 490462008@qq.com

摘要: 马尔尼菲青霉菌病(penicilliosis marneffei, PSM)好发于免疫力低下人群,尤其是HIV感染人群。其临床症状、体征缺乏特异性,培养条件较苛刻,阳性检出率低,临床极易误诊为结核病。笔者报告1例非HIV感染、病变由局部向全身播散、被误诊为结核病的马尔尼菲青霉菌病患者的诊治过程,并分析探讨经验得失,以供临床参考。

关键词: 青霉,产黄, 真菌病, 结核, 转诊和会诊, 诊断,鉴别, 结果与过程评价(卫生保健)

Abstract: Penicilliosis marneffei (PSM) mainly occurs in immunocompromised people especially in patients of HIV infection.The clinical symptoms and signs of PSM are lack of specificity. Penicillium marneffei (PM) is critical for the culture condition and the positive rate is low. It’s easy to be misdiagnosed as tuberculosis. One case of penicilliosis marneffei without HIV infection in our hospital who had a disseminated lesion and was misdiagnosed as tuberculosis at beginning.was discussed from clinical feature to treatment.

Key words: Penicillium chrysogenum, Mycoses, Tuberculosis, Referral and consultation, Diagnosis, differential, Outcome and process assessment (health care)