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马尔尼菲青霉菌病是由马尔尼菲青霉菌(Penicillium marneffei)感染所引起的一种疾病,由于此病在国内罕见,且缺乏系统认识,极容易误诊为其他疾病。我科收治了2例长期误诊为肺结核病或肺炎的播散性马尔尼菲青霉菌病患者,现报告如下。 1 病例介绍 例1,女,36岁,于1991年3月起歼始反复发热,呈不规则热型,伴两侧膝、肘关节红肿疼痛,当时按风湿性关节炎给予强的松(30mg/d)治疗1月余,症状显著缓解,以后继续服强的松维持。5月末始
Penicillium marneffei is a disease caused by penicillium marneffei infection. Rarely known in the country, and lack of systematic understanding, Penicillium marneffei is very easily misdiagnosed as other diseases. Our department admitted 2 cases of long-term misdiagnosis as pulmonary tuberculosis or pneumonia disseminated marneffei penicillosis patients, are as follows. A case description Example 1, female, 36 years old, in January 1991 since the beginning of repeated fever, was irregular heat type, with bilateral knees, elbow swelling and pain, was given by rheumatoid arthritis prednisone (30mg / d) Treatment for more than 1 month, the symptoms were significantly relieved, and continued to take prednisone to maintain. The end of May