新型隐球菌病

• 作 者: 陶仲为
• 机 构: 山东省立医院
• 出 处: 山东医药
• 发表日期: 1991年06期
• 关键词: 新型隐球菌病 斑片状阴影 陈旧性肺结核 全身酸痛 右上肺 喷射性 白粘痰 白痰 主管医师 脑膜脑炎型

教授:此病例患的是新型隐球菌病。该病常误诊为结核及肿瘤,一旦确诊又常得不到适当的治疗,每致死亡。主管医师:男12岁,住院号239144。以发烧、咳白粘痰、头痛、呕吐1.5个月,于1980年4月5日入院。病起为受凉后发烧(38～39℃)、头痛、频咳、少量白痰,自按感冒治疗,但头痛、全身酸痛加剧,乃去医院就诊。胸透为肺纹增多、右上肺斑片状阴影,结论为支气管炎、陈旧性肺结核,予以青、链霉素肌注。头痛更剧,并出现频繁喷射性呕

Professor: This case is suffering from new cryptococcosis. The disease is often misdiagnosed as tuberculosis and cancer, often diagnosed often without proper treatment, each caused by death. Chief physician: Male 12 years old, hospital number 239144. To fever, cough and white phlegm, headache, vomiting 1.5 months, on April 5, 1980 admitted. Cold from the onset of fever (38 ~ 39 ℃), headache, frequent cough, a small amount of white sputum, since the cold treatment, but the headache, increased body aches, go to the hospital. Chest thorax increased lung pattern, patchy shadow of the upper right lung, the conclusion of bronchitis, old tuberculosis, to blue, streptomycin intramuscular injection. He had a worse headache and had frequent gagging