Pulmonary infection caused by Talaromyces amestolkiae

IF 9 1区 医学 Q1 RESPIRATORY SYSTEM
Thorax Pub Date : 2024-10-16 DOI:10.1136/thorax-2024-221802
Chiqing Ying, Lvjun Zhang, Xuehang Jin, Hui Chen, Dan Zhu
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引用次数: 0

Abstract

A 38-year-old woman was admitted for uterine fibroid surgery. A routine preoperative CT chest scan identified bilateral patchy, high-density shadows, with unclear boundaries, more evident in the upper lobes (figure 1A). She had no respiratory symptoms, such as coughing or expectoration, and was an office worker with allergies to seafood and mango. She denied having comorbidities including diabetes, renal disease, liver disease, malignancy or HIV. In March 2023, she received cefuroxime anti-infective treatment during her hospitalisation for gynaecological surgery and did not continue antibiotics after discharge. Six months later, in November 2023, a follow-up CT chest revealed radiographic progression of bilateral upper lobe changes (figure 1B). Despite being asymptomatic, she was prescribed moxifloxacin at the outpatient clinic for presumed bilateral bacterial pneumonia. A subsequent CT chest a week later showed no noticeable improvement in her lung condition. Therefore, she was hospitalised for further examination to determine the cause of the lung infection. During her hospitalisation, the results of her …
塔拉霉菌(Talaromyces amestolkiae)引起的肺部感染
一名 38 岁的女性因子宫肌瘤手术入院。术前常规胸部 CT 扫描发现双侧斑片状高密度影,边界不清,上叶更明显(图 1A)。她没有咳嗽或排气等呼吸道症状,是一名对海鲜和芒果过敏的上班族。她否认患有糖尿病、肾病、肝病、恶性肿瘤或艾滋病等合并症。2023 年 3 月,她因妇科手术住院期间接受了头孢呋辛抗感染治疗,出院后没有继续使用抗生素。6 个月后,即 2023 年 11 月,随访胸部 CT 发现双侧上叶病变放射学进展(图 1B)。尽管她没有症状,但门诊医生还是给她开了莫西沙星,以治疗推测的双侧细菌性肺炎。一周后的胸部 CT 显示她的肺部状况没有明显改善。因此,她住院接受进一步检查,以确定肺部感染的原因。住院期间,她的...
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来源期刊
Thorax
Thorax 医学-呼吸系统
CiteScore
16.10
自引率
2.00%
发文量
197
审稿时长
1 months
期刊介绍: Thorax stands as one of the premier respiratory medicine journals globally, featuring clinical and experimental research articles spanning respiratory medicine, pediatrics, immunology, pharmacology, pathology, and surgery. The journal's mission is to publish noteworthy advancements in scientific understanding that are poised to influence clinical practice significantly. This encompasses articles delving into basic and translational mechanisms applicable to clinical material, covering areas such as cell and molecular biology, genetics, epidemiology, and immunology.
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