糖尿病合并PUO 1例

P. Agarwal, Shipra Gulati, A. Garg, Sunila Jain
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引用次数: 0

摘要

荚膜组织胞浆菌是一种热二形真菌,是组织胞浆菌病的病原体。它是地方性真菌病的常见病因。我们报告一例64岁女性,已知的糖尿病、高血压、地中海贫血特征的病例,她表现为持续发烧,食欲下降和体重减轻,持续1个月,发现有贫血和肝脾肿大。肝活检诊断为组织胞浆菌病。她开始使用两性霉素B脂质体14天。患者症状明显改善后,给予伊曲康唑片200mg,每日2次,连用1年,并建议随访。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A case of PUO in diabetes mellitus
Histoplasma capsulatum, a thermal dimorphic fungus, is the agent of histoplasmosis. It is a common cause of endemic mycosis. We report the case of a 64-year-old female, a known case of diabetes mellitus, hypertension, beta-thalassemia trait who presented with persistent fever, decreased appetite and weight loss for a period of 1 month and found to have anaemia and hepatosplenomegaly. She was diagnosed with histoplasmosis on liver biopsy. She was started on amphotericin 'B' liposomal for 14 days. She showed marked improvement symptomatically and later put on tablet itraconazole 200 mg twice a day for 1 year and was advised for follow-up.
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