组织胞浆菌病1例

组织胞浆菌病是人体吸入空气中的真菌孢子而致病，在临床上极其少见，本例从骨髓中检出，现报告如下。     

组织胞浆菌病1例

患者男性 ,7岁。近 2个月来患者常于午后发热 ,至深夜热退 ,体温在 37— 38℃之间 ,有时达 39℃ ,伴纳差、消瘦。查体 :全身浅表淋巴结肿大 ,约 0 5ｃｍ× 0 5ｃｍ至 0 75ｃｍ×0 75ｃｍ ,质中 ,无压痛 ,活动度好 ,无融合。中上腹部、左中腹部可触及数个包块 ,大小 1 5ｃｍ× 1 5ｃｍ至 2 5ｃｍ× 2 5ｃｍ ,质地稍硬。肝脾均于肋缘下 1 5ｃｍ ,质软 ,无触痛。实验室检查 :ＥＳＲ 90ｍｍ/ｈ。ＷＢＣ 1 6 8× 10 9/Ｌ ,Ｎ 77 6 %。类风湿胶乳试验 ( ) ,血抗“0”、外斐反应、肥达反应、免疫球蛋白、肝功能、补体Ｃ3、抗核抗体、抗ｄｓＤ…     

组织胞浆菌病1例报道

组织胞浆菌病（Histoplasmosis）是一种由荚膜组织胞浆菌感染所致的原发性深部真菌病，在我国十分罕见。现将本院收住1例报道如下。     

组织胞浆菌感染1例分析

近年来由于广谱抗生素、糖皮质激素、细胞毒药物及免疫抑制剂的广泛使用，真菌感染的机会明显增多。我科明确诊断噬血细胞综合征化疗后荚膜组织胞浆菌感染1例，分析如下。     

慢性肺部组织胞浆菌病诊断和治疗

报告４例经组织学证实的慢性肺部组织胞浆菌病。１例有发热，咳嗽和咳痰；３例体检发现，胸片示肺内肿块，或伴散在结节状钙化和胸膜增厚。强调痰真菌检查和纤维支气管镜检对本病有确诊价值。４例肺组织切片显示多核巨细胞肉芽肿，在巨噬细胞内见到许多卵圆形，直径２￣４μｍ酵母型荚膜组织胞浆菌，ＰＡＳ染为红色，六胺银染成黑色。４例均行肺叶切除，无并发症，随访未见复发。作者认为对严重肺炎或空洞性病变患者最好及时给予两性     

2例播散型组织胞浆菌病的诊断

组织胞浆菌病是由组织胞浆菌所致的深部真菌病,常经呼吸道感染,侵犯肺部引起急慢性肺损害,严重者可发展成播散型组织胞浆菌病(Progressive Disseminated Histoplasmosis,PDH),主要累及单核巨噬细胞系统,如骨髓、肝、脾、淋巴结等。PDH在我国罕见。本院近年先后发现数例PDH,原均误诊为黑热病(LV)。现就其中2例报告如下,并就PDH的诊断问题     

肺结核重叠组织胞浆菌病1例报告

1病例报告 患者男,39岁.因高热、盗汗、咳嗽1个月于2002-04-22入院.4年前曾患结核性胸膜炎,经正规抗结核治疗1年痊愈,近2年在广东深圳打工.入院体格检查:体温39℃,脉搏100次/分,呼吸25次/分,血压15/8kPa.神志清晰,慢性消瘦病容,全身浅表淋巴结无肿大.     

骨髓细胞学检查诊断组织胞浆菌病二例

~~骨髓细胞学检查诊断组织胞浆菌病二例@杨思俊$云南省楚雄州人民医院血液细胞室!楚雄675000 @王继美$云南省楚雄州人民医院血液细胞室!楚雄675000 @李起伟$云南省楚雄州人民医院血液细胞室!楚雄675000 @陈国伟$云南省疟疾防治研究所!思茅665000~~~~     

淋巴结针吸细胞学诊断组织胞浆菌病1例

患儿男性,2岁。因高热,咳嗽50天,临床诊断肺Ⅱ型结核,经抗结核、抗菌治疗仍高热收入院。查体:体温39·8℃,皮肤、巩膜轻度黄染,颈部、腹股沟多个淋巴结肿大,质中,无压痛,活动度好。B超示肝、脾轻度肿大;血常规WBC28·93×109/L,Hb93 g/L,NC62·8%,PLT612×109/L,中性粒细胞可见中毒颗粒;尿常规:BIL(),pH5·0,余(-)。胸部CT示双肺弥漫性分布大小、密度均匀的粟粒状结节影,纵隔淋巴结肿大;血培养阴性;骨髓穿刺示感染性骨髓表现。病理检查淋巴结针吸细胞涂片经HE染色,见散在淋巴细胞及多核巨噬细胞,多核巨噬细胞胞质内、外有大量呈簇…     

口腔组织胞浆菌病误诊1例

1　病例报告女 ,42岁。因左上后牙槽肿物复发 3个月于 1999- 0 6 - 2 3就诊。于 3个月前无明显诱因感左上后牙疼痛、松动。在当地县医院就诊 ,诊断为牙周炎 ,将患牙拔除。不久 ,患者发觉自拔牙创中长出一淡红色肿物 ,突出于牙槽窝影响进食。肿物生长较慢 ,无疼痛及其他不适。患者再次到县医院就诊 ,诊断为上颌骨肿物 ,将肿物切除 ,抗生素治疗。但术后不久 ,肿物复发 ,再次由牙槽窝中长出而来我院就诊。检查 :一般情况好 ,心肺腹部无阳性体征。专科情况见 7缺失 ,牙槽窝内可见一约 1.5 cm× 1.0 cm× 0 .7cm大小结节状肿物 ,突出于牙槽嵴。肿…     

以发热为主要表现的食管念珠菌病1例

临床资料 患者女,44岁.于2008年10月11日无明显诱因出现畏寒、寒战、发热、恶心,无呕吐、腹胀,无腹痛、腹泻,无夜间盗汗.测体温38.0 ℃,服用感冒退热冲剂后,体温有所下降,但病情仍反复.当地医院查血常规:白细胞 3.8×109/L,红细胞 3.5×1012/L,血红蛋白 108 g/L;中性粒细胞 0.75.予头孢米诺、左氧氟沙星、美洛西林-舒巴坦等药物治疗5 d效果不佳,于10月18日入我院.患者既往体健,无免疫抑制剂应用史.体格检查:体温 38.4 ℃,皮肤、巩膜无黄染,双侧颈部、腋窝可及多个蚕豆大小淋巴结,质中,无粘连,无触痛.     

以发热为首要症状的巨细胞动脉炎一例报道

<正>患者,女性,78岁,汉族,因"发热1个月余"于2018年8月14日入四川大学华西医院治疗。入院前1个多月,患者出现无明显诱因发热,每日下午体温升高,服用解热镇痛药后可缓解。自诉体温大多波动在37～38℃之间,最高体温38.1℃,伴有轻度咳嗽,咳少量白色黏痰,有夜间出汗、心慌等不适症状。无胸闷、胸痛,无腹痛、腹泻,无尿频、尿急、尿痛,无全身关节疼痛等症状。半个月前于外院住院,多次查血常规均提示血象正常,但红细胞及血红蛋白进行性下降,红细胞沉降率(erythrocyte sedimentation rate,ESR)明显高于正常,给予抗感染、对症支持等治疗后患者病情无好转,进一步行胸部CT、骨髓     

A rare case of leaking abdominal aneurysm presenting as isolated right testicular pain

An abdominal aortic aneurysm (AAA) is not usually considered in the differential diagnosis of isolated right testicular pain. We describe a patient who did present with isolated acute right testicular pain as the sentinel feature of a leaking AAA. In the patient group with right testicular pain, consideration of a leaking AAA should be added to the differential diagnosis. An adverse outcome can be avoided by timely diagnosis and intervention.     

A rare case of right lower quadrant abdominal pain

Isolated fallopian tube torsion without involvement of the ovary is a rare condition most frequently presenting during reproductive years. Imaging, vitals, physical exam, and laboratory findings all fail to help establish a definitive diagnosis. The majority of the diagnoses are made on the operating table. Physical exam most often reveals unilateral and localized abdominal pain, often with nausea and vomiting, but few other reliably common findings. Diagnosis becomes even more challenging due to the fact that isolated tubal torsion occurs often in pregnancy and preferentially on the right, further complicating the clinical picture.We describe a case of isolated tubal torsion, unique in that localized necrosis and inflammation from the torsion triggered a secondary appendicitis. The patient required surgical intervention, and an appendectomy and salpingectomy emergently. Given its elusive and rare nature, awareness and early intervention is required by the emergency physician to recognize tubal torsion, as operative intervention is crucial, and can lead to preservation of fertility and improved fetal survival.     

A pulmonary embolism case presenting with upper abdominal and flank pain.

BACKGROUND: The clinical manifestations of pulmonary thromboembolism are non-specific, which makes this condition difficult to diagnose. A case of helical computerized tomography angiographically documented pulmonary thromboembolism, which initially presented as upper abdominal and flank pain, is described. CASE REPORT: A 46-year-old woman was referred to the emergency department for left flank and upper abdominal pain with diaphoresis and nausea. Her history included rheumatoid arthritis 3 years previously. During her examination the only abnormal finding was abdominal tenderness at the right upper quadrant and a positive Murphy sign without other systemic signs. A chest radiograph demonstrated an atelectatic line at the left lung base. The alveolar-arterial gradient was increased, and a ventilation-perfusion scan revealed a mismatch at the left upper and lower lobes, indicative of pulmonary thromboembolism. Helical computerized tomography angiography revealed filling defects on that side. The patient received anticoagulant therapy and gradually improved. CONCLUSION: The pathogenesis of the pain in the flank and upper abdomen is not known in this case. Unexplained upper abdomen and flank pain in a patient with risk factors for pulmonary thromboembolism, such as rheumatoid arthritis, should be investigated to rule out this treatable but potentially fatal condition.     

以上腹痛为主要表现的肺炎一例

肺炎是肺实质的炎症,病因以感染最常见,其他尚有理化因子、免疫损伤等。感染引起的肺炎其病原体包括从病毒到寄生虫各种生物性致病因子,其中以细菌最为常见。肺炎居死亡原因的第5位[1]。随着抗生素的广泛应用,病原菌发生了很大的变化,同时还经常并发败血症、脓胸、心包炎、呼吸窘迫综合征等,使得诊断治疗更加困难。临床上曾遇到1例波及胆囊的肺炎,现报告如下。     

1例以腹痛为首发症状的过敏性休克病人的院前急救护理

临床上过敏性休克通常都突然发生,若不及时抢救常可危及生命.我科于2009年5月4日院前接诊并成功抢救1例爬虫叮咬后以腹痛为首发症状的过敏性休克病人.现将院前急救护理报告如下.