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作者叙述1例致命性毛霉菌病,造成治疗急性成髓细胞白血病复杂化。该病误诊为上腔静脉梗阻,其临床表现过去未见报道。病例报告:64岁,男性,因2周不适而住院。检查时面色苍白,有重度口腔念珠菌病,但无淋巴结病或肝脾大。化验结果显示:血红蛋白浓度9.1g/dl,血小板75×10~9/L,白细胞计数5×10~9/L。证实有奥尔氏杆(白血病患者成髓细胞浆中的小杆状体)。骨髓检查证明为急性成髓细胞白血病。病人开始使用正定霉素等化疗。4周后,病人发生右肺基底部肺炎,用庆大霉素、羧苄青霉素等治疗有效。此2疗程能成功地缓解,但不能
The author describes a fatal Mucormycosis that has complicated the treatment of acute myeloid leukemia. The disease misdiagnosed as superior vena cava obstruction, the clinical manifestations of the past have not been reported. Case report: 64 years old, male, hospitalized for 2 weeks of discomfort. Check pale, severe oral candidiasis, but no lymphadenopathy or hepatosplenomegaly. Laboratory tests showed hemoglobin concentration of 9.1g / dl, platelet 75 × 10 ~ 9 / L, and white blood cell count of 5 × 10 ~ 9 / L. Aurelles were confirmed (small rods in leukoplatinum of leukemia patients). Bone marrow examination proved acute myeloid leukemia. The patient started using chemotherapy, such as n-amikacin. Four weeks later, the patient developed pneumonitis at the base of the right lung and was treated with gentamicin, carbenicillin and the like. This 2 course of treatment can be successfully alleviated, but can not