组织浆菌病在实体器官移植患者在非流行地区在纽约市。

IF 1.1 4区医学 Q4 MEDICAL LABORATORY TECHNOLOGY

Annals of clinical and laboratory science Pub Date : 2024-11-01

Sarah Shidid, Aashna Pandya, Kateryna Karpoff, Tamar A Smith-Norowitz

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引用次数: 0

摘要

目的：报道纽约市一例实体器官移植受者组织胞浆菌病。病例报告：我们报告了一位39岁的女性肝移植受者，她经历了两周的进行性呼吸短促和用力呼吸困难的历史，干扰了日常生活的所有活动。研究小组的体格检查显示，患者WBC为11.7，+ SARS-CoV-2 NP拭子，CT胸部伴肺炎，尿抗原检测组织胞浆菌病阳性。整体临床表现为新发组织胞浆菌病感染。结论：结果支持组织胞浆菌病的诊断。组织胞浆菌病在纽约市等非流行地区很少见。感染性检查应包括真菌标志物，以进一步评估呼吸短促，并需要考虑流行病学措施以外的因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

本刊更多论文

Histoplasmosis in a Solid Organ Transplant Patient in a Non-Endemic Region in New York City.

Objective: To present the case of a solid organ transplant recipient with Histoplasmosis in New York City.

Case report: We present a 39-year-old female liver transplant recipient, who experienced a two-week history of progressive shortness of breath and dyspnea on exertion that interfered with all activities of daily living. Physical examination by the team revealed the patient had a WBC of 11.7, + SARS-CoV-2 NP swab, CT Chest with pneumonia, and a urine antigen test positive for Histoplasmosis. Her overall clinical picture was concerning for new Histoplasmosis infection.

Conclusion: Findings endorse the diagnosis of Histoplasmosis. Histoplasmosis is rare in non-endemic regions such as New York City. An infectious workup should include fungal markers to further evaluate shortness of breath and a need to look beyond epidemiologic measures.

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来源期刊

Annals of clinical and laboratory science 医学-医学实验技术

CiteScore

1.60

自引率

0.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： The Annals of Clinical & Laboratory Science welcomes manuscripts that report research in clinical science, including pathology, clinical chemistry, biotechnology, molecular biology, cytogenetics, microbiology, immunology, hematology, transfusion medicine, organ and tissue transplantation, therapeutics, toxicology, and clinical informatics.