富极横治.pdf

Volume. 9 2002No. 6 Surg, 1986, 42:113～117. [4]富极横治,贤一忠夫,诸山崎,他.术前に肾机能低下さ认あぬ Surg, 1994, 57:691～696. 弁膜の手术适应症よそれに对ある预防的大动脉バルンペ ソどング法[J].日胸会会志,1990,34:43～47. 【收稿日期】 2002-08-07 [5]Kaul TK, Fields BL, Reddy MA, et al. Cardiac operations in 【文章编号】 1009-3257 (2002)06-0006-03 皮损似传染性软疣的隐球菌病 怀有为1 张超英2 方 栩2 (1.上海儿科医院，上海 200032； 2.上海华山医院皮肤科） 【摘要】 目的 提高对隐球菌病的诊断水平。 方法 对2例皮损似传染性软疣样的隐球菌病的临床资料及多项检查结果与文献 进行对比分析。 结果 2例均为儿童，临床表现主要有发热、咳嗽、头痛、腹泻、肝脾肿大、关节痛和似传染性软疣的皮疹 皮损组织液、血液及脑脊液检查找到隐球菌，皮损和淋巴结组织病理检查见孢子。 结论 当发热性疾病伴传染性软疣样皮损时， 应警惕隐球菌感染。避免误诊和延误诊断的关键是提高对本病的认识和对可疑病例做真菌检查。 【关键词】 隐球菌病； 传染性软疣； 临床分析 【中图分类号】R379 .5 【文献标识码】A Clinical analysis of 2 cases of cryptococcosis resembling mollu scum contagiosum H UAI You-wei, ZHAN G Chao-y ing, FAN G X u. Dep artment of Dermatology, Shanghai Children Hosp ital, Shanghai 200032, China 【Abstract 】 ObjectiveTo improve the diagnosis of cryptococcosis. Methods2 cases of clinical data、hem ogram and myelogram of cryptococcosis resembling molluscum contagiosum were analyzed. ResultsAll patients were children . The clinical features were con sisted of fever 、cou gh 、headache、diarrhea、arthralgia、hepatosplenomegaly and papu les resembling m olluscum contagiosum. Cryptococcosis neoformans could be found in skin lesion, blood and CSF samples. The histological study of skin lesion and lymph node revealed numerous encapsulated budding yeast forms. ConclusionsThe febrile patients with skin lesions resem- bling molluscum contagiosum should be thought of cryptococcosis. The key points to avoid misdiagnosis and delayed diagnosis are recognition earlier an d laboratory identification of the fungus in suspected p atients. 【Key w ords】 cryp tococcosis; mo