7例肺结核合并超鞭毛虫感染的诊断和治疗分析

中国防痨杂志 ›› 2009, Vol. 31 ›› Issue (9): 507-510.

7例肺结核合并超鞭毛虫感染的诊断和治疗分析

周一平；陈小可；黄烈；陆学东；刘慧；陈霞

广东医学院附属深圳福田人民医院深圳 518033

出版日期:2009-09-10 发布日期:2011-11-03

Analysis on diagnosis and treatment for 7 cases with pulmonary tuberculosis complicated with lower respiratory tract infection with hypermastigote

Zhou Yiping, Chen Xiaoke, Huang Lie, Lu Xuedong, Liu Hui, Chen Xia

Affiliated Hospital of Futian People’s Hospital of Guangdong Medical College, Shenzhen 518033, China

Online:2009-09-10 Published:2011-11-03

摘要/Abstract

摘要： 目的探讨肺结核合并超鞭毛虫感染的临床诊断和治疗。方法对7例肺结核合并超鞭毛虫感染患者的临床和影像表现、实验室检查和治疗进行分析。结果患者以咳嗽和发热为主要症状，正规抗结核治疗后多仍有发热和明显盗汗，支气管肺泡灌洗液沉渣涂片镜检有助于提高超鞭毛虫检出率，甲硝唑治疗效果良好，可进一步恢复患者体温并消除盗汗。结论深圳地区肺结核患者合并超鞭毛虫感染临床并不少见，提高认识及时诊断治疗预后良好。

关键词: 结核, 肺/并发症, 鞭毛亚门感染

Abstract: ObjectiveTo investigate clinical diagnosis and treatment for patients with pulmonary tuberculosis complicated with lower respiratory tract infection with hypermastigote. MethodThe clinical manifestations, imaging findings, laboratory Results and treatment were studied for 7 patients with pulmonary tuberculosis complicated with lower respiratory tract infection with hypermastigote. ResultsThe main symptoms were cough and fever. The fever and obvious night sweat were still existing after regular anti-tuberculosis treatment. Sediment smear examination of bronchoalveolar lavage fluid was helpful to increase the positive rate of hypermastigote. Metronidazole had good therapeutic effect with improving fever and night sweat. ConclusionThe patients with pulmonary tuberculosis complicated with lower respiratory tract infection with hypermastigote is not rare in Shenzhen area. Improving understanding, early diagnosis and timely treatment will bring better prognosis.

Key words: Tuberculosis,pulmonary/complications, Mastigophora infections

周一平,陈小可,黄烈,陆学东,刘慧,陈霞. 7例肺结核合并超鞭毛虫感染的诊断和治疗分析[J]. 中国防痨杂志, 2009, 31(9): 507-510.

Zhou Yiping, Chen Xiaoke, Huang Lie, Lu Xuedong, Liu Hui, Chen Xia. Analysis on diagnosis and treatment for 7 cases with pulmonary tuberculosis complicated with lower respiratory tract infection with hypermastigote[J]. Chinese Journal of Antituberculosis, 2009, 31(9): 507-510.