1例罕见的饲鸽者侵袭性肺曲霉菌感染的病例报告

摘要/Abstract

摘要： 本文通过1例临床药师在一线临床工作中遇到的饲鸽者侵袭性肺曲霉菌感染的病例，着重介绍了饲养鸽子与侵袭性肺曲霉菌感染的关联性，而此关联性在临床诊断中常常被忽略，因为国内尚无类似病例的报道。并且详尽介绍了目前各指南推荐的侵袭性肺曲霉病治疗方法以及疗程。该病例患者经医师和临床药师协作治疗，后情况好转，治疗有效。

关键词: 饲鸽者, 侵袭性肺曲霉菌, 感染, 抗真菌

Abstract: Based on a case of invasive pulmonary aspergillus infection in a pigeon breeder encountered by clinical pharmacists in the clinical work， this case report highlights the association between pigeon feeding and invasive pulmonary aspergillus infection， which is often ignored in clinical diagnosis， because there was no such case reported in China.In addition， the treatment methods and treatment courses of invasive pulmonary aspergillus recommended by the current guidelines are introduced in detail.The patient was cured by doctors and clinical pharmacists， and the treatment was effective.

Key words: Pigeon breeder, Invasive pulmonary aspergillus, Infection, Antifungal

. 1例罕见的饲鸽者侵袭性肺曲霉菌感染的病例报告[J]. 中国医药导刊, 2019, 21(9): 564-566.

参考文献

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[5] Naz SA.Isolation of potentially pathogenic fungi from selected pigeons’ feeding sites in Karachi: A new dimension to health hazard.J Pak Med Assoc.2017 Jun;67(6):901-906.
[6] Cermeño JR. Cryptococcus neoformansSandSHistoplasma capsulatumSinSdove''s (Columbia livia) excreta in Bolívar state, Venezuela.Rev Latinoam Microbiol.S2006 Jan-Mar;48(1):6-9.
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[8] 全国临床药师规范化培训系列教材--抗感染专业.人民卫生出版社.
[1] The interpretation of practice guidelines for the diagnosis and management of aspergillosis: 2016 update by the Infectious Diseases Society of America.2016 年美国感染病学会曲霉病诊断处理实践指南.
[2] 陈先华,郝飞. 侵袭性肺曲霉病的研究进展[J]. 中华肺部疾病杂志(电子版),2016,02:201-203.
[3] Kim A, Nicolau DP, Kuti JL． Hospital costs and outcomes among intravenous antifungal therapies for patients with invasive aspergillosis in the United States[J] ． Mycoses, 2011, 54( 5) : e301-e312．
[4] 中国成人社区获得性肺炎诊断和治疗指南(2016年版).
[5] Naz SA.Isolation of potentially pathogenic fungi from selected pigeons’ feeding sites in Karachi: A new dimension to health hazard.J Pak Med Assoc.2017 Jun;67(6):901-906.
[6] Cermeño JR. Cryptococcus neoformansSandSHistoplasma capsulatumSinSdove''s (Columbia livia) excreta in Bolívar state, Venezuela.Rev Latinoam Microbiol.S2006 Jan-Mar;48(1):6-9.
[7] 医疗诊疗常规--呼吸内科诊疗常规(第2版).北京协和医院.
[8] 全国临床药师规范化培训系列教材--抗感染专业.人民卫生出版社.
[1] The interpretation of practice guidelines for the diagnosis and management of aspergillosis: 2016 update by the Infectious Diseases Society of America.2016 年美国感染病学会曲霉病诊断处理实践指南.
[2] 陈先华,郝飞. 侵袭性肺曲霉病的研究进展[J]. 中华肺部疾病杂志(电子版),2016,02:201-203.
[3] Kim A, Nicolau DP, Kuti JL． Hospital costs and outcomes among intravenous antifungal therapies for patients with invasive aspergillosis in the United States[J] ． Mycoses, 2011, 54( 5) : e301-e312．
[4] 中国成人社区获得性肺炎诊断和治疗指南(2016年版).
[5] Naz SA.Isolation of potentially pathogenic fungi from selected pigeons’ feeding sites in Karachi: A new dimension to health hazard.J Pak Med Assoc.2017 Jun;67(6):901-906.
[6] Cermeño JR. Cryptococcus neoformansSandSHistoplasma capsulatumSinSdove''s (Columbia livia) excreta in Bolívar state, Venezuela.Rev Latinoam Microbiol.S2006 Jan-Mar;48(1):6-9.
[7] 医疗诊疗常规--呼吸内科诊疗常规(第2版).北京协和医院.
[8] 全国临床药师规范化培训系列教材--抗感染专业.人民卫生出版社.

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