Winnie Kibone , Felix Bongomin , David W. Denning , David B. Meya
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引用次数: 0
摘要
慢性肺曲霉菌病（CPA）在非洲的治疗仍有待探索。我们为您介绍一名 23 岁的乌干达男性患者，他曾因肺结核接受过三次治疗，后来患上了慢性肺曲霉菌病。影像学检查显示肺部纤维化、支气管扩张和真菌球。他每周接受 600 毫克（10 毫克/千克）两性霉素 B 脂质体治疗六周，临床症状明显改善。在资源有限的情况下，每周服用两性霉素 B 脂质体可能是治疗 CPA 的一种可行方法。
Primary treatment of chronic pulmonary aspergillosis with weekly liposomal amphotericin B: A case report from Uganda
Chronic pulmonary aspergillosis (CPA) treatment in Africa remains unexplored. We present a 23-year-old Ugandan male, previously treated thrice for pulmonary tuberculosis, developing CPA. Imaging showed lung fibrosis, bronchiectasis, and a fungal ball. He received weekly 600mg (10mg/kg) of liposomal amphotericin B for six weeks, leading to marked clinical improvement. Weekly liposomal amphotericin B may be a viable treatment option for CPA in resource-limited settings.
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