论文部分内容阅读
患者男,46岁,因进行性声音嘶哑半个月入院。该患因感冒、扁桃体炎曾连续用多种抗生素20余天后感到声嘶并逐渐加重。纤维喉镜下见双侧声带前1/2处均可见黄白色团块样物不易剥掉,下方可见肉芽增生。右侧声带为重。用纤维气管镜在无菌条件下取黄白色团块(?)病检,报告为双声带霉菌病倾向曲霉菌咸染并有组织坏死。第2次取病检进行真菌培养,鉴定为烟曲菌。临床诊断:喉霉菌病。停用抗生素,用制霉菌素加维生素等药物治
Male, 46 years old, hospitalized for half a month due to progressive hoarseness. The patient suffering from a cold, tonsillitis had continuous with more than 20 days after a few antibiotics hoarseness and gradually increased. Fiber laryngoscope see both sides of the vocal cords before the visible yellow-white mass sample is not easy to peel, below the granulation hyperplasia. The right vocal cord is heavy. Fiberoptic bronchoscopy under aseptic conditions to take yellow-white mass (?) Disease test, reported as dual-mode fungal disease Aspergillus stain and tissue necrosis. The second to take pathogenic fungi culture, identified as Aspergillus fumigatus. Clinical diagnosis: throat mold disease. Disable antibiotics, with nystatin plus vitamins and other drugs