医学真菌学的临床问题:第55期

IF 1.5 4区生物学 Q4 MYCOLOGY Revista Iberoamericana De Micologia Pub Date : 2021-01-01 DOI:10.1016/j.riam.2020.10.004

Mercedes Romero , Fernando Messina , Roxana Depardo , Emmanuel Marín , Alicia Arechavala , Nicolás Lista , Alejandra Rodríguez , Gabriela Santiso

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引用次数: 1

摘要

一名31岁女性，有HIV感染症状(鹅口疮、体重下降、虚弱)，以呼吸困难、发热就诊。快速HIV检测结果为阳性，血清中检测到隐球菌荚膜抗原。在临床呼吸道样本的真菌学研究中，在湿mount光镜下观察到与隐球菌相容的酵母;吉姆萨染色也观察到与氏肺囊虫相容的结构。对这两种病症进行了治疗，但不幸的是，患者在7天后死亡。在同一临床图像中发现两种病因是罕见的，但并不例外，在免疫功能低下的宿主中必须加以考虑。

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Problemas clínicos en Micología Médica: problema número 55

A 31-year-old woman, with signs of HIV infection (oral thrush, weight loss, asthenia) presented to our hospital with dyspnea and fever. A rapid HIV test yielded a positive result, and cryptococcal capsular antigen was detected in serum. In the mycological study of the clinical respiratory samples, yeasts compatible with Cryptococcus were observed under light microscope in a wet mount; structures compatible with Pneumocystis jirovecii were also observed in Giemsa stain. Treatment for both pathologies was prescribed but, unfortunately, the patient died 7 days after. The finding of two etiologic agents in the same clinical picture is rare but not exceptional, and it always must be considered in immunocompromised hosts.

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来源期刊

Revista Iberoamericana De Micologia MYCOLOGY-

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

81 days

期刊介绍： Revista Iberoamericana de Micología (Ibero-American Journal of Mycology) is the official journal of the Asociación Española de Micología, Asociación Venezolana de Micología and Asociación Argentina de Micología (The Spanish, Venezuelan, and Argentinian Mycology Associations). The Journal gives priority to publishing articles on studies associated with fungi and their pathogenic action on humans and animals, as well as any scientific studies on any aspect of mycology. The Journal also publishes, in Spanish and in English, original articles, reviews, mycology forums, editorials, special articles, notes, and letters to the editor, that have previously gone through a scientific peer review process.