原发性肺隐球菌病的临床和乳胶凝集试验分析

目的分析肺隐球菌病的临床特点和乳胶凝集试验，以提高对该病诊断。方法回顾分析15例经病理证实的原发性肺隐球菌病的临床及相关检查资料表现，同时对所有肺隐球菌病人行乳胶凝集试验。结果15例病人中男11例（73.3％），女4例（26.7％），且经病理证实为肺隐球菌病人，这些病人乳胶凝集试验均为阳性，而该试验特异性的感性为100％，其中一例没有临床症状，14例病人有咳嗽发热等症状。结论肺隐球菌病的临床与影像表现不典型，乳胶凝集试验作为一种快速简易的试验方法能提高肺隐球菌病的检出率。

Clinical and serum latex agglutination test analysis of pulmonary cryptococcosis

Objective To analyze the clinical characteristics of primary pulmonary crytococcosis and serum latex agglutination （LA） test, and to raise diagnosis level of primary crytococcosis. Methods The clinical data of 15 patients with primary pulmonary cryptococcosis pathologically proved was retrospective studied, and latex agglutination test exeamination was performed in all the patients. Results Histopathologieal examination confirmed pulmonary cryptococeosis in 15 cases, all of whom were positive for serum LA test. The patients consisted of 11 males and 4 females. 1 case had no clinical symptoms, and 14 cases had respiratory symptoms, such as cough, expectoration etc. Therefore the seasitivety and specity of LA test were both 100%. Conclusion Clinical and imaging of pulmonary erytococeosis are not specific. LA test as a quick and easy examination raises diagnosis level of pulmonary cryptococeosis.