新型隐球菌是特发性阻塞性细支气管炎伴机化性肺炎的病因ppt课件

CASEREPORT CN cryptococcusneoans asacauseof BOOP bronchiolitisobliteransorganizingpneumonia 2019 1 CN cryptococcusneoans 1 immunocompromisedpatients 2 immunocompetentindividuals systemicinfections localizedpulmonarydisease 2019 2 BOOP bronchiolitisobliteransorganizingpneumonia araresevereofpneumonitiscausedbyavarietyofinfectiousandtoxicagentsorconnectivetissuediseases 2019 3 1 BOOPduetoCNhasveryrarelybeenreported 2 mostlyinimmunocompromisedpatients Wereportacase CN associatedBOOPinanimmunocompetentindividualanddiscussthediagnosisandtreatmentofthisentity 2019 4 a30 yearoldhealthyCaucasianmale 10 dayhistoryoffever chillsandnonproductivecough deniedanytobaccoorillicitsubstanceuse arecenthuntingtriptoCanada 2019 5 oxygensaturationlevelwasnormal achestradiographshowedrightupperlobeconsolidation 2019 6 orallevofloxacin returned3dayslaterwithpersistentfever cough andheadache 2019 7 hospitalized intravenousceftriaxoneandazithromycin Arepeatedchestradiograph CT scan bilateralupperandlowerlobeconsolidationsandnodularity 2019 8 2019 9 image image 2019 10 2019 11 2019 12 oralsteroidsfluconazole 400mg d 3 monthcourse remainedasymptomatichadnopulmonaryinfiltratesonchestradiograph 9monthsoffollow up 2019 13 Discussion 2019 14 1 observationalonewithoutspecifictherapy2 treatmentofsymptomaticpatients particularlythosewithextensivediseaseonchestradiographs3 hightitersofserumcryptococcalantigenarebelievedtobeamarkerofsystemiccryptococcaldisease4 antifungaltherapycanprobablybepostponedwithcloseobservationfor2 3months5 oralfluconazoleisanalternative 2019 15 6 BOOP aninflammatory fibrosingprocessinvolvingthesmallairwaysthatoftenresultsinprogressive irreversibleobstructivepulmonarydisease7 pathogenesis damageofthebronchiolarepithelialcellsandrecruitmentofTlymphocytesandneutrophilstothesiteofinjury manycytokinesandchemokinesaresecreted perpetuatingtheinflammatoryresponseandleadingtofibroblastationwithobliterationoftheairways 2019 16 5casereportsofanassociationbetweenCryptococcusandBOOPwereportonacaseofanimmunocompetentyoungadultwithouthistoryofpreviouslungdiseasewhopresentedwithaprolongedcourseofsignificantlunginvolvementandBOOP CNshouldbekeptinmindasapossibleetiologyinpatientswhopresentwithseverepneumonitisorbronchiolitis eveniftheydonothaveAIDSorotherimmunosuppression asthiscaseillustrates 2019 17 后面内容直接删除就行资料可以编辑修改使用资料可以编辑修改使用资料仅供参考 实际情况实际分析 感谢您的观看和下载 Theusercandemonstrateonaprojectororcomputer orprintthepresentationandmakeitintoafilmtobeusedinawiderfield youcancontactme email1024317489 Tel 15805160337Ad seu university nanjing jiangsu China 2019 20