CAJ | 학술논문

目的探讨肾移植术后并发真菌败血症的临床与病理.方法观察研究了1 089/1 141例次同种异体肾移植术后经尸检确诊的临床少见的真菌败血症8例.结果 8例真菌败血症中:曲霉菌败血症2例,毛霉菌败血症2例,新型隐球菌败血症1例,白色念珠菌败血症1例,奴卡氏菌败血症2例.其中4例合并细菌感染.结论真菌性败血症是一种严重而危急的全身性真菌感染.病原菌侵入血流后,可在血循环或组织内生长繁殖,产生毒素,引起寒战、高热、昏迷等毒血症表现,若不及时治疗,常致死亡.
목적 탐토신이식술후병발진균패혈증적림상여병리.방법 관찰연구료1 089/1 141례차동충이체신이식술후경시검학진적림상소견적진균패혈증8례.결과 8례진균패혈증중:곡매균패혈증2례,모매균패혈증2례,신형은구균패혈증1례,백색념주균패혈증1례,노잡씨균패혈증2례.기중4례합병세균감염.결론 진균성패혈증시일충엄중이위급적전신성진균감염.병원균침입혈류후,가재혈순배혹조직내생장번식,산생독소,인기한전、고열、혼미등독혈증표현,약불급시치료,상치사망.
Objective To clinically and pathologically investigate the fungal septicemia after renal transplantation.Methods 1 089 case-times of orthotopic renal transplantation were retrospectively analyzed. Eight cases were diagnosed as having fungal septicemia by autopsy. Results Among the 8 cases,one was infected with candidiasis, one with cryptococcosis neoformans, 2 with mycormyccosis, 2 with aspergillosis, and 2 with nocardiasis. Four cases out of the 8 cases were co-infected with bacteria. Conclusion Fungal septicemia following renal transplantation was a severe systemic infection.