摘要
目的探讨耐多药肺结核继发肺部真菌感染的危险因素、临床特点及诊治方法,以提高对2病并存时临床表现的认识和综合处理的能力。方法回顾湖北黄石市二医院2002年以来收治的51例耐多药肺结核合并肺部真菌感染的病历资料,并进行分析。结果合并肺部真菌感染的耐多药肺结核均有明显易感因素,其临床特点:结核病史长;复治病例多;年龄偏大;肺部病变广泛,空洞多,病情较重;主要致病真菌为念珠菌。结论耐多药肺结核易继发肺部真菌感染,提高对2病并存的认识,有利于耐多药肺结核病的控制及降低死亡率。
Objective To study the risk factors, clinical characteristics and methods of diagnosis and treatment of secondary fungal infection in MDR-PTB cases in order to improve the recognition and treatment of the coexistence of two diseases. Methods Fifty-one cases of MDR-PTB compli- cated with fungi infection in our department from 2002 were retrospectively analyzed. Results Fifty-one cases had susceptible factors of fungus infection. The major clinical features were as fol- lows： they had a long history of tuberculosis; usually occurred in older patients;they had extensive range of lesions and many cavities in lungs; Their diagnosis depended on the examination of patho- genic organisms,type of fungi in 51 cases was Candida Albicans. Conclusion It is common that fungal infection occurred in MDR-PTB cases. Improving the recognition on the two diseases will be contribute to MDR-PTB control and reduce death rate.
出处
《中国防痨杂志》
CAS
2009年第12期693-696,共4页
Chinese Journal of Antituberculosis
关键词
结核
肺/并发症
结核
抗多种药物性/并发症
肺疾病
真菌性
tuberculosis
pulmonary/complication
tuberculosis, multidrug-resistant/complieation
lung disease, fungus
