论文部分内容阅读
新型隐球菌病是亚急性或慢性深部真菌病。主要侵犯中枢神经系统和肺脏,也可侵犯皮肤、粘膜、骨髓和其它脏器。临床表现和结核感染十分相似,容易误诊。现将我科收治的两例报告如下。例1,男,6岁,因乏力消瘦2月、不规则发热45天、腹部包块半月入院。查体:38℃,P9(?)次/分,R45次/分,体重15(?)g,营养差。全身浅表淋巴结如黄豆、蚕豆大小,光滑、活动、无压痛。右肺呼吸音稍减低,未闻罗音,心律齐、心音低钝,未闻杂音。腹膨隆,肝肋下5cm、剑下10cm 扪及质中等硬、边缘锐,脾肋下4cm 扪及。实验室检查:Hb10g,WBC15400/mm~3,N3(?)%,L30%;B35%;胸片示两肺门影增大,边
New type of cryptococcosis is subacute or chronic deep mycosis. The main violations of the central nervous system and lungs, but also violations of the skin, mucous membranes, bone marrow and other organs. Clinical manifestations and tuberculosis are very similar and easily misdiagnosed. Now my department admitted two cases are as follows. Example 1, male, 6 years old, due to fatigue, weight loss, February, irregular fever 45 days, abdominal mass admitted to hospital for half a month. Examination: 38 ℃, P9 (?) Times / min, R45 beats / min, weight 15 (?) G, poor nutrition. Whole body superficial lymph nodes such as soybeans, broad bean size, smooth, activity, no tenderness. Right lung breath sounds slightly reduced, did not hear rales, heart rhythm Qi, heart sounds low blunt, unheard noises. Abdominal bulge, liver rib 5cm, sword 10cm palpable medium hard, sharp edge, spleen ribs 4cm palpable. Laboratory tests: Hb10g, WBC15400 / mm ~ 3, N3 (?)%, L30%; B35%;