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新型隐球菌常引起肺部感染,由于症状轻微易于忽视,严重者有广泛肺部病变,但胸腔积液较为少见,本文报道2例,并作文献复习。例1 42岁、男性。系慢性肺功能衰竭并胰岛素依赖性糖尿病患者。因寒战,发热伴干咳4天入院。有肺水肿体征,X 线提示心脏扩大与两下肺弥漫性间质浸润,经青霉素等治疗,仍有发热,且出现右侧胸腔积液,曾2次涂片与培养无细菌。第20天肾衰加重曾腹膜透析,再次胸水检查为渗出液,白
Cryptococcus neoformans often cause lung infection, due to mild symptoms easily overlooked, severe cases have extensive lung disease, but pleural effusion is relatively rare, this article reports 2 cases, and for the literature review. Example 1 42 years old, male. Chronic pulmonary failure and insulin-dependent diabetes mellitus. Due to chills, fever with dry cough 4 days admission. There are signs of pulmonary edema, X-ray prompted the expansion of the heart and diffuse interstitial infiltration of the lungs, penicillin and other treatment, there are still fever, and the right pleural effusion, had two smears and culture without bacteria. On the 20th day of renal failure had peritoneal dialysis, once again pleural effusion as exudate, white