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发热血培养曲霉菌算致病菌吗？

2022-02-22 网络 网络

曲霉菌影像科呼吸科
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    2022-12-17 qingrejiedu

    #霉菌#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1723856, encodeId=d6d21e238565f, content=<a href='/topic/show?id=36ea988949a' target=_blank style='color:#2F92EE;'>#霉菌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98894, encryptionId=36ea988949a, topicName=霉菌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6bd333549766, createdName=qingrejiedu, createdTime=Sat Dec 17 21:30:07 CST 2022, time=2022-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540149, encodeId=a58c1540149d7, content=<a href='/topic/show?id=671f89004fc' target=_blank style='color:#2F92EE;'>#血培养#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89004, encryptionId=671f89004fc, topicName=血培养)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d5f013187051, createdName=花花1370, createdTime=Thu Feb 24 06:30:07 CST 2022, time=2022-02-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1570801, encodeId=b62215e08013b, content=<a href='/topic/show?id=1e296025e18' target=_blank style='color:#2F92EE;'>#曲霉菌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=60257, encryptionId=1e296025e18, topicName=曲霉菌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d77115715468, createdName=fzwish20005, createdTime=Thu Feb 24 06:30:07 CST 2022, time=2022-02-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626228, encodeId=ac7c16262280f, content=<a href='/topic/show?id=c11d864884d' target=_blank style='color:#2F92EE;'>#致病菌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86488, encryptionId=c11d864884d, topicName=致病菌)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=395f25, createdName=爆笑小医, createdTime=Thu Feb 24 06:30:07 CST 2022, time=2022-02-24, status=1, ipAttribution=)]
    2022-02-24 花花1370

    #血培养#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1723856, encodeId=d6d21e238565f, content=<a href='/topic/show?id=36ea988949a' target=_blank style='color:#2F92EE;'>#霉菌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98894, encryptionId=36ea988949a, topicName=霉菌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6bd333549766, createdName=qingrejiedu, createdTime=Sat Dec 17 21:30:07 CST 2022, time=2022-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540149, encodeId=a58c1540149d7, content=<a href='/topic/show?id=671f89004fc' target=_blank style='color:#2F92EE;'>#血培养#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89004, encryptionId=671f89004fc, topicName=血培养)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d5f013187051, createdName=花花1370, createdTime=Thu Feb 24 06:30:07 CST 2022, time=2022-02-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1570801, encodeId=b62215e08013b, content=<a href='/topic/show?id=1e296025e18' target=_blank style='color:#2F92EE;'>#曲霉菌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=60257, encryptionId=1e296025e18, topicName=曲霉菌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d77115715468, createdName=fzwish20005, createdTime=Thu Feb 24 06:30:07 CST 2022, time=2022-02-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626228, encodeId=ac7c16262280f, content=<a href='/topic/show?id=c11d864884d' target=_blank style='color:#2F92EE;'>#致病菌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86488, encryptionId=c11d864884d, topicName=致病菌)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=395f25, createdName=爆笑小医, createdTime=Thu Feb 24 06:30:07 CST 2022, time=2022-02-24, status=1, ipAttribution=)]
    2022-02-24 fzwish20005

    #曲霉菌#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1723856, encodeId=d6d21e238565f, content=<a href='/topic/show?id=36ea988949a' target=_blank style='color:#2F92EE;'>#霉菌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98894, encryptionId=36ea988949a, topicName=霉菌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6bd333549766, createdName=qingrejiedu, createdTime=Sat Dec 17 21:30:07 CST 2022, time=2022-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1540149, encodeId=a58c1540149d7, content=<a href='/topic/show?id=671f89004fc' target=_blank style='color:#2F92EE;'>#血培养#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89004, encryptionId=671f89004fc, topicName=血培养)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d5f013187051, createdName=花花1370, createdTime=Thu Feb 24 06:30:07 CST 2022, time=2022-02-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1570801, encodeId=b62215e08013b, content=<a href='/topic/show?id=1e296025e18' target=_blank style='color:#2F92EE;'>#曲霉菌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=60257, encryptionId=1e296025e18, topicName=曲霉菌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d77115715468, createdName=fzwish20005, createdTime=Thu Feb 24 06:30:07 CST 2022, time=2022-02-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626228, encodeId=ac7c16262280f, content=<a href='/topic/show?id=c11d864884d' target=_blank style='color:#2F92EE;'>#致病菌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86488, encryptionId=c11d864884d, topicName=致病菌)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=395f25, createdName=爆笑小医, createdTime=Thu Feb 24 06:30:07 CST 2022, time=2022-02-24, status=1, ipAttribution=)]
    2022-02-24 爆笑小医

    #致病菌#

    0

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Thorax：曲霉菌与囊性纤维化患儿肺疾病进展

由此可见，在患有囊性纤维化的儿童中，5岁时阳性的曲霉BAL培养物与空气诱捕同时不伴有支气管扩张相关。然而，阳性曲霉BAL培养物与5岁时预测的FEV1％或5岁至14岁之间肺功能下降之间未观察到关联。

ICU曲霉菌及其他呼吸道真菌感染：诊断及防治

综述目的： 呼吸道丝状真菌感染，即曲霉菌、毛霉菌、镰刀菌或足放线菌等，其发病率逐步增高，并且常常发生在不是经典免疫抑制患者人群中。 本文即对呼吸道真菌感染及其不良预后做综述分析。 研究发现：影响ICU呼吸道真菌感染患者是否能最大程度获得良好结局的因素，包括：(1) 早期诊断，这包括对疑诊病例的高度警觉，以及基于临床表现，影像检查，微生物培养，真菌生物标志物，PCR及组织活检的早期判断；(2)

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临床必备：一文总结，曲霉菌感染表现和治疗

曲霉菌是造成机遇性肺真菌感染的第二位病原菌。曲霉菌是一种条件致病菌，广泛分布于自然界，多存在于发霉谷物、饲料、土壤，可在动物和人体定植，参与许多肺部真菌病的发病过程，据统计，曲霉菌相关病死率约58%。

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曲霉菌感染是高危人群死亡的重要原因，西班牙临床微生物和传染病学会(SEIMC)真菌感染研究小组更新发布了最新曲霉菌引起的侵袭性疾病的管理威廉亚洲博彩公司 。

探案：反复咯血的始作俑者是曲霉吗？

2016年2月底无明显诱因下咯血，持续数天，每日咯血量约100-200ml，无咳嗽咳痰、胸闷气促、发热盗汗、乏力纳差等症状。2016-03-01当地医院胸部CT示：左下肺支气管闭塞，右下肺磨玻璃小结节，右肺中叶小结节。CRP 9.9mg/L，ESR 45mm/H，痰找抗酸杆菌*2次：阴性，T-SPOT阴性（具体不详）。