摘要
目的提高对急性白血病化疗后肝脾源性真菌感染的认识。方法报告1例急性白血病合并肝脾真菌感染的治疗效果并对有关文献进行复习。结果肝脾部真菌感染可通过临床症状和体征,相关血液检查、组织学及影像学检查进行诊断。抗真菌治疗的同时不能停止或延迟对本病的治疗,治疗应满足长期、足量的原则,临床症状体征、相关血液检查和影像学检查正常后可考虑停药。结论肝脾源性真菌感染的相关检验阳性率不高,影像学及临床表现无特异性,应注意鉴别诊断,及早进行针对性治疗。
Objective To improve the awareness of hepatosplenogenic fungal infection after chemotherapy for acute leukemia. Methods Therapeutic effects of acute leukemia and hepatosplenogenic fungal infection were reported and relevant literature was reviewed. Results Hepatosplenogenic fungal infection was diagnosed based on its clinical symptoms and signs, hematological, histological and imaging examinations. Antifungal treatment was continued until all clinical symptoms and signs disappeared and hematological, histological and imaging examinations became negative. Conclusion The positive rate of hepatosplenogenic fungal infection is not high. Its imaging and clinical manifestations are non-specific. It should be differentially diagnosed from other diseases and early treated with targeted therapies.
出处
《军医进修学院学报》
CAS
2010年第7期741-742,共2页
Academic Journal of Pla Postgraduate Medical School
关键词
白血病
肝
细菌感染和真菌病
Leukemia
Liver
Bacterial Infections and Mycoses
