原发性肺隐球菌病一例诊治分析并文献复习

摘要

Pulmonarycryptococcosis,causedbycryptococcusneoformansinfectiondeepinlungs,cancausesystemic infection or even cryptococcal meningitis if not diagnosed or treated timely. It often appears in AIDS patients,but increasingly in individuals with normal immunity. This paper analyzes retrospectively the diagnosis and treatment process of pulmonary cryptococ-cosis,summarizes the experience of treatment and reviews the literatures on its clinical manifestations,the key points for its diag-nosis and treatment,to improve clinicians′awareness about pulmonary cryptococcosis.%肺隐球菌病是由新型隐球菌感染引起的肺深部真菌病。若肺隐球菌病得不到及时诊断治疗，可致全身感染，严重者可引起隐球菌脑膜炎。其好发于艾滋病患者，然而在免疫力正常的个体中报道也逐渐增多。本文回顾性分析1例原发性肺隐球菌病患者的诊断和治疗过程，总结治疗经验，并结合相关文献复习肺隐球菌病的临床表现、诊断与治疗要点，以提高临床医师对肺隐球菌病的认识。