肺球孢子菌病表现为真菌球，类似曲菌瘤。

IF 1.6 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Medical Mycology Case Reports Pub Date : 2024-12-12 eCollection Date: 2025-03-01 DOI:10.1016/j.mmcr.2024.100690

Rik van den Biggelaar, Tristan Couwenbergh, Alexander C A P Leenders, C A van der Sloot, Henrich van der Lee, Jochem B Buil

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引用次数: 0

摘要

一名49岁女性，自2015年以来已知无症状空洞，于2023年出现咯血。放射学显示肿块疑似曲菌瘤。由于持续咯血，行肺叶切除术。病理检查发现真菌菌丝，经LSU测序鉴定为球虫属真菌。国家参考中心的显微镜、培养和ITS测序证实了波萨达球螨的鉴定。患者最后一次访问流行地区是在出现症状性疾病之前的13年。

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Pulmonary coccidioidomycosis presenting as a fungal ball mimicking aspergilloma.

A 49-year old female, known to have had an asymptomatic pulmonary cavity since 2015, presented in 2023 with hemoptysis. Radiology showed a mass suspected to be an aspergilloma. Due to persistent hemoptysis, lobectomy was performed. Pathological examination revealed fungal hyphae, and the cultured fungus was identified as a Coccidioides species by LSU sequencing. Microscopy, culture, and ITS sequencing at the national reference center confirmed the identification of Coccidioides posadasii. The patient's last visit to an endemic region was 13 years before the symptomatic disease.

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来源期刊

Medical Mycology Case Reports MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

47 days