肺结核合并白色念珠菌感染64例临床分析

目的　探讨肺结核合并白色念珠菌感染的临床特点及治疗。方法 回顾并分析5年来我科收治的肺结核合并肺部白色念珠菌感染64例的资料。结果 肺结核合并肺部白色念珠菌感染的特点:结核病史长,年龄偏大;以浸润型和慢性纤维空洞型肺结核为主;肺部病变广泛,空洞多,病情较重;多有继发真菌感染的诱因可寻;确诊有赖于病原学检查。结论 肺结核合并肺部白色念珠菌感染有增多趋势,了解其临床特点可提高对两病并存的诊治水平。

Clinical analysis of 64 cases with pulmonary tuberculosis complicated by Candida Albicans Infection

Objective To study the clinical feature and treatment of pulmonary tuberculosis complicated by Candida albicans infection.Methods To review and analyze of the 64 cases of pulmonary tuberculosis complicated by Candida albicans infection in our department in recent 5 years.Results The major clinical feature of pulmonary tuberculosis complicated by Candida albicans infection were:long history of tuberculosis,usually occurred in older patients and the patients with infiltrative pulmonary tuberculosis and chronic fibrocvaitative pulmonary tuberculosis;Extensive lesions and many cavities in lungs;Most of them had the evident causes of fungus infection.Their diagnoses depend on the examination of pathogenic organisms.Conclusion The number of patients with pulmonary tuberculosis complicated by Candida albians infection is increasing.Understanding of the clinical feature can improve the level of recognition.