典型肺类癌患者由嗜霞光外孢子虫引起的肺色霉菌病1例。

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Internal Medicine Pub Date : 2025-05-08 DOI:10.2169/internalmedicine.5271-25

Saki Ito, Kiyonobu Takatsuki, Masahiro Katsurada, Naoyuki Kojima, Teruaki Hyakudo, Maho Morikawa, Shun Yamazaki, Yuki Yamamoto, Takuya Naito, Kazumi Kaneshiro, Yuko Kono, Masataka Matsumoto, Yoshihiro Nishimura

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引用次数: 0

摘要

外菌属引起真菌病，但很少感染人的肺部。一名61岁男性，有黑色带血痰。胸部电脑断层显示支气管中间干及外周实变，右肺S7区可见肿块影。支气管镜检查发现中间干支气管口有突出的黑色病变，分离出金黄色外孢子虫。实变自行消退，残余肿瘤诊断为类癌。本病例强调了肺色霉菌病可能发生在免疫正常的个体中，而气道中没有任何预先存在的结构改变。

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Pulmonary Chromomycosis Caused by Exophiala phaeomuriformis in a Patient with a Typical Pulmonary Carcinoid Tumor.

Exophiala spp. cause dematiaceous mycoses, but rarely infect human lungs. A 61-year-old man presented with bloody black sputum. Chest computed tomography showed consolidation in the truncus intermedius and peripheral bronchus, and a mass shadow in the S₇ region of the right lung. Bronchoscopy revealed a protruding black lesion in the bronchial orifice of the truncus intermedius, and Exophiala phaeomuriformis was isolated. The consolidation resolved spontaneously, and the residual tumor was diagnosed as a carcinoid tumor. This case highlights the fact that pulmonary chromomycosis may occur in immunocompetent individuals without any preexisting structural changes in the airways.

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.