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。
Penicilliosis marneffei （PSM） mainly occurs in immunocompromised people especially in patients ot 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.
作者
刘小玉
盛健
蒋钰辉
戴希勇
雷美
陈军
袁保东
LIU Xiao-yu;SHENG Jian;JIANG Yu-hui;DAI Xi-yong;LEI Mei;CHEN Jun;YUAN Bao-dong(Department of Surgery, Wuhan Pulmonary Hospital, Wuhan 430030, Chin)
出处
《中国防痨杂志》
CAS
2017年第12期1353-1358,共6页
Chinese Journal of Antituberculosis
基金
武汉市卫生计生科研基金资助（WX17C23）
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)
Penicillium chrysogenum
Mycoses
Tuberculosis
Referral and consultation
Diagnosis, differential
Outcome and process assessment （health care）
