摘要
目的探讨成人纵隔型支气管囊肿合并曲霉菌感染的临床特点,旨在提高临床医生对该罕见病变的认识。方法报道2024年2月佛山市第二人民医院收治的1例以发热、胸痛为主要表现的成人纵隔型支气管囊肿合并曲霉菌感染病例。胸部CT检查显示纵隔肿块,术后病理确诊为支气管囊肿伴曲霉菌感染。结合相关文献复习,总结疾病的临床特征和诊疗要点。结果该患者通过手术成功切除病灶,病理学检查明确诊断为支气管囊肿并曲霉菌感染。文献复习提示纵隔型支气管囊肿在成人中较为少见,合并曲霉菌感染的病例更是罕见。结论成人纵隔型支气管囊肿合并曲霉菌感染是一种罕见病变,临床表现缺乏特异性,影像学检查是重要的诊断手段,最终确诊依赖于病理学检查。提升临床医生对该疾病的认知,有助于实现及时准确的诊断与合理的治疗。
Objective To explore the clinical characteristics of adult mediastinal bronchial cysts complicated with aspergillus infection,aiming to improve clinicians'understanding of this rare lesion.Methods A case of adult mediastinal bronchial cyst with aspergllus infection admitted to the Foshan Second People's Hospital in February 2024,mainly presenting with fever and chest pain,was reported.Chest CT showed a mediastinal mass,and postoperative pathology confirmed bronchial cyst with aspergillus infection.Combined with relevant literature review,the clinical features,diagnosis and treatment points of the disease were summarized.Results The patient successfully underwent surgical resection of the lesion,and pathological examination confirmed the diagnosis of bronchial cyst complicated with aspergillus infection.Literature review indicated that mediastinal bronchial cysts are relatively rare in adults,and cases complicated with aspergllus infection are even rarer.Conclusions Adult mediastinal bronchial cyst complicated with aspergillus infection is a rare lesion with non-specific clinical manifestations.Imaging examination is an important diagnostic method,and the final diagnosis depends on pathological examination.Enhancing clinicians'awareness of this disease is helpful for timely and accurate diagnosis and reasonable treatment.
作者
黄琨伦
陈绍森
曲延玉
李佩文
Huang Kunlun;Chen Shaosen;Qu Yanyu;Li Peiwen(Department of Respiratory and Critical Care Medicine,Foshan Second People's Hospital,Foshan 528000 China;Department of Pathology,Foshan Second People's Hospital,Foshan 528000,China;Department of Radiology,Foshan Second People's Hospital,Foshan 528000,China)
出处
《中国医师杂志》
2025年第8期1213-1216,共4页
Journal of Chinese Physician
基金
佛山市“十四五”医学培育专科项目(FSPY145014)。
关键词
支气管囊肿
曲霉菌
感染
Bronchogenic cyst
Aspergillus
Infection
