Misdiagnosis of pulmonary fungal disease.doc

 PAGE \* MERGEFORMAT 7 Misdiagnosis of pulmonary fungal disease [Keywords:] fungal disease, lung, misdiagnosis Pulmonary fungal disease is currently increasing, but its diagnosis is very difficult. This collection of nearly 5 years in our hospital with the pathological diagnosis of 14 cases of pulmonary fungal disease, its pathological analysis of misdiagnosis before the judge, to further improve the diagnosis. 1 Data and Analysis 1.1 Clinical data 8 males and 6 female patients. The average age (45.71 + -12.24 years. Have a special history of the 5 cases: with past history of pulmonary tuberculosis, diabetes, a history of mushroom cultivation, engaged in food processing history, a history of 1 case of breast-feeding. Hospitalization After all the HIV antibody and CD3, CD4, CD8 clinical examination, only 1 patient had positive findings by sputum semi-quantitative culture 24 times for each case to find fungi, in a total of 38 positive results in sputum culture, 22 times, in addition to 2 times for aspergillosis, but are candidiasis. evidence of pulmonary pathology in 13 cases: 4 cases in which the type of fungus can not be clear, the other 5 patients to aspergillosis, coccidioidomycosis, cryptococcosis in 2 cases. The other 1 case a left lower pulmonary nodules, lymph node biopsy showed fungal disease, bone marrow culture showed growth of terrestrial yeast Cryptococcus. A total of 10 cases of fungal types may be clear, but the results are inconsistent with the sputum culture. Misdiagnosis of 1.2 9 cases of lung cancer misdiagnosis: no symptoms, physical examination found 2 cases of lung shadows, cough, bloody sputum in 6 cases, 1 case of dry cough, found no positive signs. Imaging: mass (6 cases isolated mass, combined with the film flocculent nodules or video fusion in 2 cases, 2 cases of multiple nodules, patchy shadow in 1. partakers leaf mass and spiculation (2 cases, 1 case of mediastinal lymph nodes , 2 patients had pleural inde