中文題目：免疫健全的狀態下同時感染肺結核與隱球菌.doc

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1、中文題目：免疫健全的狀態下同時感染肺結核與隱球菌—病例報告英文題目：CoinfectionwithPulmonaryTuberculosisandCryptococcosisinanImmunocompetentIndividual—ACaseReport作者：蔡孟儒，曲長科服務單位：衛生署旗山醫院胸腔內科暨重症加護病房　　CoinfectionwithpulmonarytuberculosisandCryptococcusspeciesinanimmunocompetentpatientisuncommonandsometimesitislikelyt

2、omissthediagnosisastheysharesimilarmanifestationsinclinicalscenario.Weencounteredan83-year-oldmalepatientwithinitialpresentationofcough,sputumproductionandfeverfor2weeks.Hedeniedanyotherremarkablehistoryorsystemicdiseasesexceptchronickidneydisease,stage2.Chestradiographandcompute

3、dtomography(CT)revealedleftupperlobecavitarylesionwithcentri-lobularnodules.Pulmonarytuberculosisandcryptococcalpneumoniawereverifiedbypositivesputumacid-faststainandtuberculosispolymerasechainreaction(TB-PCR),alongwithpositiveserumcryptococcalantigentest.Wereviewedthearticlesand

4、literaturesanddiscussedthemechanismofcoinfectionwithpulmonarytuberculosisandcryptococcosis.