摘要
目的将原发性肺部隐球酵母菌性肺炎误诊为结节病的临床病理和影像学表现,加以分析报道。方法应用CT扫描,病理发现结节病并随诊。结果半年后患者出现发热、头痛及肺部阴影,脑脊液培养为新型隐球酵母菌,重新阅读病理确诊为肺新型隐球酵母菌性肺炎。结论肺部隐球酵母菌性肺炎临床及影像学检查特异性少,常常误诊。
OBJECTIVE To report one case of primary Cryptococcus neoformans pneumonia misdiagnosed to sarcoidosis with its clinical presentations, pathology and imaging manifestation. METHODS Sarcoidosis was obtained by CT and pathologic examination. RESULTS The patient showed fever, headache and abnormal shadows in the lung field after six months. Cerebrospinal fluid examination was defined as C. neoformans. Afer review of his pathology it was diagnosed primary C. neoformans pneumonia. CONCLUSIONS C. neoformans pneumonia always shows no symptoms;orly can be showed by CT as multiple nodules or large patches, and always misdiagnosed.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2007年第6期673-674,共2页
Chinese Journal of Nosocomiology
关键词
原发性
隐球酵母菌
肺炎
误诊
Primary
Cryptococcus neoformans
Pneumonia
Misdiagnose
