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投稿时间:2024-10-29 网络发布日期:2025-09-19
投稿时间:2024-10-29 网络发布日期:2025-09-19
中文摘要: 隐球菌病是一种侵袭性真菌病,既往研究发现该病多见于免疫功能受损的患者,但近年来在免疫功能正常的患者中发病率也逐年升高。隐球菌病可侵犯所有脏器组织,主要感染肺、脑及脑膜,引起脑膜炎,严重时甚至导致死亡。但由于隐球菌病的临床表现和影像学特征缺乏特异性,误诊与漏诊现象频发,导致许多患者错失最佳治疗时机。本文深入剖析了隐球菌病的病原学、流行病学特征,详细总结了其临床症状、影像学表现及诊断方法,并对新型诊断技术及新型检测方法进行总结,以期对隐球菌病有更好的认识,从而为提高患者的生存率和生活质量提供参考。
Abstract:Cryptococcosis is an invasive fungal disease that was previously found predominantly in immunocompromised patients, but in recent years, its incidence has been increasing even among immunocompetent individuals. It can affect all organs and tissues, primarily infecting the lungs, brain, and meninges, leading to meningitis, and in severe cases, even death. However, due to the nonspecific clinical manifestations and imaging features of cryptococcosis, misdiagnosis and missed diagnosis frequently occur, causing many patients to miss the optimal treatment window. This article provides an in-depth analysis of the etiology and epidemiological characteristics of cryptococcosis, comprehensively summarizes its clinical symptoms, imaging findings, and diagnostic methods, and describes novel diagnostic techniques and testing approaches. The aim is to enhance the understanding of cryptococcosis, thereby offering valuable insights for improving patients' survival rates and quality of life.
keywords: Cryptococcus disease Cryptococcus neoformans Cryptococcus gatti Capsule antigen detection Next-generation sequencing technology Fluconazole Amphotericin B
文章编号: 中图分类号:R519.4 文献标志码:A
基金项目:
附件
| 作者 | 单位 |
| 高成艳 | 武汉科技大学医学部医学院,湖北 武汉 430081 |
| 杨雪娇 | 湖北文理学院附属医院 襄阳市中心医院呼吸与危重症医学科,湖北 襄阳 441000 |
| 郑玉兰 | 湖北文理学院附属医院 襄阳市中心医院呼吸与危重症医学科,湖北 襄阳 441000 |
引用文本:
高成艳,杨雪娇,郑玉兰.隐球菌病的诊断和治疗[J].中国临床研究,2025,38(9):1368-1372.
高成艳,杨雪娇,郑玉兰.隐球菌病的诊断和治疗[J].中国临床研究,2025,38(9):1368-1372.
