前言目的:提高对播散型组织胞浆菌病的确诊率,减少误诊。方法:对我院收治的8例播散型组织胞浆菌病患者进行临床分析,找出误诊原因。结果:该病主要表现为发热、畏寒、咳嗽、肺部损害、肝脾肿大、淋巴结肿大、消瘦、乏力及消化道症状等。初诊时无1例考虑为该病,主要误诊为伤寒、肺部感染、肺结核、肺癌、肝硬化等。8例患者的骨髓涂片及7例血涂片查到荚膜组织胞浆菌后才得到确诊。入院后确诊时间7～29d。用氟康唑或伊曲康唑治疗,全部治愈,耐受性较好。疗程62～70d。结论:播散型组织胞浆菌病是一严重疾病,临床表现无特异性,易误诊,应提高对该病的认识
Objective:Toenhancetheaccuratediagnosisofdisseminatedhistoplasmosis,andavoidmisdiagnosis.Methods:Clinicalfeaturesof8patientswithdisseminatedhistoplasmosiswereanalysedretrospectivelyinordertofindoutthecauseofmisdiagnosis.Results:Themainclinicalmanifestationswerefever,chills,cough,lunglesions,hepatosplenomegaly,lymphadenopathy,emaciation,markedastheniaandsymptomsofdigestivetractinvolvement.Nonewasconsideredtobedisseminatedhistoplasmosisonthefirst...
