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Aspergillus Galactomannan for Diagnosing Invasive Aspergillosis
JAMA ( IF 63.1 ) Pub Date : 2017-09-26 , DOI: 10.1001/jama.2017.10661
Marisa H. Miceli 1 , Carol A. Kauffman 2
Affiliation  

A 67-year-old man with granulomatous polyangiitis (Wegener granulomatosis) complicated by end-stage renal disease requiring hemodialysis and mild pulmonary fibrosis, was hospitalized with a 2-week history of worsening dyspnea and dry cough. He was taking 20 mg prednisone and 150 mg azathioprine daily. On examination, he was afebrile and had diffuse rhonchi and expiratory wheezes. A chest computed tomography (CT) scan revealed bilateral nodular infiltrates and a 1.3-cm cavitary nodule in the right upper lobe. Bronchoscopy was performed on day 2. Blood and bronchoalveolar lavage fluid test results are presented in the Table.

中文翻译:

用于诊断侵袭性曲霉病的曲霉半乳甘露聚糖

一名患有肉芽肿性多血管炎(韦格纳肉芽肿)的 67 岁男性患有需要血液透析和轻度肺纤维化的终末期肾病,因呼吸困难和干咳加重 2 周病史住院。他每天服用 20 毫克泼尼松和 150 毫克硫唑嘌呤。检查时,他不发热,并有弥漫性干音和呼气性哮鸣音。胸部计算机断层扫描 (CT) 扫描显示双侧结节浸润和右上叶 1.3 厘米的空洞结节。在第 2 天进行支气管镜检查。血液和支气管肺泡灌洗液测试结果列于表中。
更新日期:2017-09-26
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