A 38-year-old woman was admitted for uterine fibroid surgery. A routine preoperative CT chest scan identified bilateral patchy, high-density shadows, with unclear boundaries, more evident in the upper lobes (figure 1A). She had no respiratory symptoms, such as coughing or expectoration, and was an office worker with allergies to seafood and mango. She denied having comorbidities including diabetes, renal disease, liver disease, malignancy or HIV. In March 2023, she received cefuroxime anti-infective treatment during her hospitalisation for gynaecological surgery and did not continue antibiotics after discharge. Six months later, in November 2023, a follow-up CT chest revealed radiographic progression of bilateral upper lobe changes (figure 1B). Despite being asymptomatic, she was prescribed moxifloxacin at the outpatient clinic for presumed bilateral bacterial pneumonia. A subsequent CT chest a week later showed no noticeable improvement in her lung condition. Therefore, she was hospitalised for further examination to determine the cause of the lung infection. During her hospitalisation, the results of her …

中文翻译：

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由 Talaromyces amestolkiae 引起的肺部感染


一名 38 岁女性因子宫肌瘤手术入院。常规的术前 CT 胸部扫描发现双侧斑片状高密度阴影，边界不清晰，在上叶更为明显（图 1A）。她没有咳嗽或咳痰等呼吸道症状，是一名对海鲜和芒果过敏的上班族。她否认患有糖尿病、肾病、肝病、恶性肿瘤或 HIV 等合并症。2023 年 3 月，她在妇科手术住院期间接受了头孢呋辛抗感染治疗，出院后没有继续使用抗生素。6 个月后，即 2023 年 11 月，胸部随访 CT 显示双侧肺叶上部变化的影像学进展（图 1B）。尽管没有症状，但她在门诊被开了莫西沙星，用于治疗推测的双侧细菌性肺炎。一周后，随后的胸部 CT 检查显示她的肺部状况没有明显改善。因此，她被送往医院进行进一步检查，以确定肺部感染的原因。在她住院期间，她的结果......