Objective To investigate the clinical features of lower respiratory tract infection caused by hypermastigote. Methods The clinical manifestations, chest imaging characteristics, fiber bronchoscopic and etiological test results were analyzed in 16 patients with hypermastigote infection in lower respiratory tract. Results In 16 patients with hypermastigote infection in lower respiratory tract, fever were present in all the cases, cough in 15 cases, night sweat in 12 cases, wheezing in 3 cases, and eosinophilia in 3 cases.Alive hypermastigotes were found in respiratory tract secretion in all the 16 cases. Bacterial culture of respiratory tract secretion yielded positive results in 8 of 16 cases. Chest imaging showed infiltrations in several lobes and segments or a large opacity with fuzzy patches. Bronchoscopy showed an acute inflammation in the respiratory tract lumen. Prognosis was good with the therapy of Metronidazole. Conclusions Detection of hypermastigote infection in lower respiratory tract have a definite clinical significance in Shenzhen area. Mixed infection is common in hypermastigote infection of lower respiratory tract.
Citation：
ZHOU Yiping,CHEN Xiaoke,LIU Hui,LU Xuedong,HUANG Lie. Clinical Analysis of Lower Respiratory Tract Infection Caused by Hypermastigote. Chinese Journal of Respiratory and Critical Care Medicine, 2010, 9(6): 580-582. doi:
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Copyright © the editorial department of Chinese Journal of Respiratory and Critical Care Medicine of West China Medical Publisher. All rights reserved
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石玉玲, 李林海, 廖扬, 等. 26 例肺部疾病患者合并蠊缨滴虫感染的诊断和治疗. 中国寄生虫学与寄生虫病杂志, 2007, 25: 430 -431.
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孙志远, 卢光明, 吴新生, 等. 肺部蠊缨滴虫感染的影像表现. 中华放射学杂志, 2009, 43: 20 -22 .
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- 1. 卢潍媛, 常正山, 曹建平. 一种新发机会性感染致病病原——— 蠊缨滴虫. 国际医学寄生虫病杂志, 2010, 37: 39-42.
- 2. 周一平, 陈小可, 夏利萍. 肺尘埃沉着症合并支气管结石和超鞭毛虫感染一例. 中国呼吸与危重监护杂志, 2008, 7: 473 -474.
- 3. 孟朝霞, 陈树鑫. 人体呼吸道超鞭毛虫一例报告. 江西医学院学报, 1992, 32: 96 .
- 4. Wang Y, Tang Z, Ji S, et al. Pulmonary Lophomonas blattarum infection in patients with kidney allograft transplantation. Transpl Int, 2006, 19: 1006-1013.
- 5. 夏英勤. 哮喘患者痰液中找到超鞭毛虫. 中国寄生虫学与寄生虫病杂志, 1997, 15: 417.
- 6. 康素娴, 王梅, 张丽华, 等. 咽部检到缨滴虫一例. 河北医药,2005, 27: 812.
- 7. 刘振军, 孙进学, 王德景, 等. 呼吸道感染患者痰内发现蠊缨滴1例. 中国病原生物学杂志, 2007, 2 : 附页12.
- 8. 康金风, 吾木拉, 张伟, 等. 人肺囊肿内寄生蠊缨滴虫一例. 临床荟萃, 2008 , 23: 63.
- 9. 张春芳, 张闯, 高和飞. 肺结核合并超鞭毛虫支气管肺感染1 例报道及文献复习. 中国实用内科杂志, 2008, 28: 1093-1094.
- 10. 崔力. 肺部感染鞭毛虫15 例报告. 中国社区医师, 2008 , 10: 30.
- 11. 石玉玲, 李林海, 廖扬, 等. 26 例肺部疾病患者合并蠊缨滴虫感染的诊断和治疗. 中国寄生虫学与寄生虫病杂志, 2007, 25: 430 -431.
- 12. 孙志远, 卢光明, 吴新生, 等. 肺部蠊缨滴虫感染的影像表现. 中华放射学杂志, 2009, 43: 20 -22 .
