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find Keyword "真菌病" 10 results
  • Clinical Analysis of Candida Guilliermondii Infection

    【摘要】 目的 对季也蒙念珠菌感染患者的临床及微生物学特征进行分析,为临床诊治提供参考。 方法 收集2006年1月-2008年12月病原菌培养为季也蒙念珠菌的10例住院患者资料进行回顾性分析。 结果 季也蒙念珠菌感染患者存在多种基础疾病,大多数患者(8/10)有易感因素,其中7例使用广谱抗菌药物。10例中有8例为深部真菌感染。其临床表现与感染部位有关,主要累及泌尿道、呼吸道和皮肤软组织。多数深部感染患者(6/8)在感染前存在同部位细菌感染,部分患者(3/8)在相同部位还可分离出其他真菌。全部季也蒙念珠菌菌株对两性霉素B敏感,大多数菌株(9/10)对氟康唑敏感。仅1例患者因肺部感染、呼吸衰竭死亡,其余患者经氟康唑、伊曲康唑或特比萘芬等抗真菌药物治愈。 结论 季也蒙念珠菌感染多发生于有基础疾病、存在真菌易感因素者,感染部位多为原细菌感染部位,常合并其他细菌或真菌感染。部分菌株对氟康唑和伊曲康唑中敏或耐药,治疗应根据药敏进行选择。【Abstract】 Objective To analyze the clinical and microbiologic characters of candida guilliermondii to improve the clinical diagnosis and treatment. Methods The clinical data of 10 patients with candida guilliermondii infection diagnosed in our hospital from January 2006 to December 2008 were retrospectively analyzed. Results All the patients had several underlying conditions; eight patients had predisposing factors and seven patients were prescribed with broad-spectrum antibacterials. Eight patients had deep mycoses, whose clinical manifestation was associated with the infectious sites, mainly involved in urinary tract, respiratory tract and skin-soft tissues. Most deep mycoses (6/8) had prior bacterial infection at the candida guilliermondii infection site; some patients (3/8) had other fungous infection at the same time. All the strains were sensitive to amphotericin B; most fungous strains (9/10) were sensitive to fluconazole. One patient died of pulmonary infection and respiratory failure, and the others were cured by fluconazole, itraconazole or terbinafine. Conclusion Candida guilliermondii infection mainly occurs in patients with underlying conditions and predisposing factors. The infectious sites have prior bacterial infection and bacterial infection or fungous infection at the same time. Since some candida guilliermondii strains were not sensitive to fluconazole and itraconzole, drug sensitive test should be consulted.

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  • 氟康唑胶囊联合萘替芬酮康唑乳膏治疗甲真菌病临床疗效观察

    【摘要】目的观察氟康唑胶囊联合萘替芬酮康唑乳膏治疗甲真菌病的临床效果。方法根据就诊先后顺序,将100例甲真菌病患者分为试验组和对照组,每组各50例。试验组患者年龄18~64岁,平均年龄41岁;病程8个月~6年。对照组患者年龄18~58岁,平均年龄27.9岁;病程3~31年。试验组患者口服氟康唑150 mg,1次/周,加外用萘替芬酮康唑乳膏,疗程24周。对照组患者口服伊曲康唑200 mg,1次/d,7 d/月,疗程24周。结果治疗后24周,试验组痊愈率为600%,有效率为900%;对照组痊愈率为620%,有效率为920%。两组痊愈率、有效率经统计学分析差异均无统计学意义(Pgt;005)。结论口服氟康唑联合外用萘替芬酮康唑乳膏,疗效最佳且费用较低,值得在临床中推广使用。

    Release date:2016-09-08 09:45 Export PDF Favorites Scan
  • 14例孤立性蝶窦真菌病的诊断及手术治疗

    目的 总结对孤立性蝶窦真菌病的诊断及治疗效果。 方法 回顾性分析2005年7月-2009年7月14例孤立性蝶窦真菌病患者资料,总结临床表现、影像学特征及治疗效果。 结果 14例孤立性蝶窦真菌病患者中,最主要的临床症状为头痛、回涕带血及眼部症状。鼻部CT有利于了解病变范围,主要表现为不均匀的软组织密度影。患者均行鼻窦内窥镜下蝶窦开放术。手术安全,出血少。 结论 孤立性蝶窦真菌病临床表现无特异性,CT检查有利于早期诊断,确诊需病理学检查,可通过鼻内窥镜手术治愈。

    Release date:2016-09-08 09:49 Export PDF Favorites Scan
  • Oral Itraconazole for Superficial Dermatomycosis: A Clinical Series of 200 Patients

    目的:观察口服伊曲康唑治疗皮肤浅部真菌感染的疗效及安全性。方法: 选择200例临床及真菌学确诊皮肤浅部真菌感染患者,分为手足癣和体股癣治疗组。手足癣组口服伊曲康唑200mg,bid;体股癣组口服200mg,qd,均连服7天,停药3周后评价疗效。结果: 手足癣治疗组痊愈率、总有效率和真菌清除率分别为59.38%、82.81%和92%;体股癣治疗组分别为68.06%、87.50%和94%。总不良反应发生率为5.5%。结论: 口服伊曲康唑治疗皮肤浅部真菌病临床疗效好,可靠安全。

    Release date:2016-09-08 10:04 Export PDF Favorites Scan
  • The Interpretation of the ECL-3 Guideline

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  • The Interpretation of Diagnosis and Treatment Guideline of Invasive Fungal Disease in Patients with Hematological Diseases

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  • The Interpretation of Guidelines for the Management of Candidiasis from Infectious Diseases Society of America 2009

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  • The value of 1,3-beta-D-glucan assay for diagnosis of invasive fungal disease with automimmune disease

    ObjectiveTo evaluate the diagnostic value of monitoring 1,3-beta-D-glucan (G test) in patients with autoimmune disease complicated with invasive fungal disease (IFD). MethodsA retrospective study was performed in hospitalized patients in the First Affiliated Hospital of Zhengzhou Universisty who were diagnosed as autoimmune disease with lung infection during the immunosuppressive therapy between January 2014 and January 2016. A total of 372 patients were enrolled in this study. All subjects were classified according to the 2006 diagnostic criteria and treatment of invasive pulmonaary fungal infection, with serum 1,3-β-D-glucan results not included in the diagnosis. There were 18 cases with proven IFD, 35 cases with probable IFD, and 70 ceses with possible IFD. Fifty-three patients with proven IFD or probable IFD were as a case group, and another 249 patients with no evidence for IFD were as a control group. The value of the G test for diagnosis of automimmune disease with IFD was analyzed by ROC curve. ResultsThe serum 1,3-β-D-glucan level was significantly higher in the case group when compared with the control group [median (interquartile range): 135.0 (63.1 to 319.0) pg/ml vs. 75.9 (41.2 to 88.1) pg/ml, P<0.05]. When the cut-off value of serum 1,3-β-D-glucan level was set at 93.8 pg/ml, the sensitivity, specificity, positive predictive value, and negative predictive value for diagnosis of autoimmune disease with IFD were 0.65 (95% CI 0.56 to 0.73), 0.87 (95% CI 0.83 to 0.92), 0.70 (95% CI 0.64 to 0.81), and 0.83 (95% CI 0.79 to 0.88), respectively. ConclusionThe 1,3-beta-D-glucan test is a valuable method for diagnosis of IFD in patients with autoimmune disease.

    Release date:2017-05-25 11:12 Export PDF Favorites Scan
  • Diagnostic value and analysis of endobronchial ultrasonography with a guide sheath for pulmonary fungal disease

    ObjectiveTo explore the diagnostic value of endobronchial ultrasonography with a guide sheath (EBUS-GS) for pulmonary fungal disease.MethodsAll patients were collected from January 2015 to December 2018. They were diagnosed with pulmonary fungal disease by tissue biopsy, body fluid or blood test, and without other diseases such as pneumonia, lung cancer, lung abscess, tuberculosis, or organizing pneumonia, etc. After clinical anti-fungal treatment, clinical symptoms were relieved, chest CT lesions were absorbed, laboratory-related checks were turned negative in these patients. All patients underwent bronchoscopy, bronchoalveolar lavage fluid/brush examination, and blood galactomannan antigen test/latex agglutination test. They were divided into an EBUS-GS group and a non-EBUS-GS group according to whether EBUS-GS check was performed. Non-parametric test was used to analyze the diagnostic value of EBUS-GS in pulmonary fungal diseases.ResultsFifty-one patients were included and 20 patients in the EBUS-GS group and 31 patients in the non-EBUS-GS group. The EBUS-GS group had a higher positive rate of pulmonary fungal disease. The diagnostic rates of the EBUS-GS group and the non-EBUS-GS group were statistically different (90.0% vs. 48.4%, P<0.05).ConclusionEBUS-GS can improve the diagnosis rate of pulmonary fungal disease and provides further evidence for a clear diagnosis.

    Release date:2020-01-15 11:30 Export PDF Favorites Scan
  • Traditional laboratory detection methods and metagenomic next-generation sequencing in pulmonary fungal infection diagnosis

    In recent years, due to the extensive usage of immunosuppressant and the rise of patients with cancers and organ transplantation, the incidence rate of invasive fungal infection, especially invasive pulmonary fungal infection, has increased. Besides the clinical manifestations, medical history and imaging, the diagnosis of pulmonary mycosis mainly depends on pathogen detection methods in clinical microbiology laboratory. However, due to the difficulty in fungi culturing and the low sensitivity of smear microscopy, better molecular biology methods are needed. To date, the emergence of metagenomic next-generation sequencing (mNGS) has improved the identification rate of pulmonary fungal infections. mNGS is significantly superior to traditional detection methods in rapid, accurate, and comprehensive determination of fungi from various clinical specimens, especially atypical fungi. However, some problems in mNGS method have to be addressed including sample collection, report interpretation, and its combination with traditional microbiology methods. With the in-depth discussion and solution of the above problems, mNGS will be indispensable to the etiological diagnosis of pulmonary invasive fungal infection.

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