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一例马尔尼菲青霉菌病误诊为结核病的临床诊治过程分析

Xiao-yu LIU,Jian SHENG,Yu-hui JIANG,Xi-yong DAI,Mei LEI,Jun CHEN,Bao-dong YUAN

Chinese Journal of Antituberculosis（2017）

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Abstract
马尔尼菲青霉菌病(penicilliosis marneffei,PSM)好发于免疫力低下人群,尤其是HIV感染人群.其临床症状、体征缺乏特异性,培养条件较苛刻,阳性检出率低,临床极易误诊为结核病.笔者报告1例非HIV感染、病变由局部向全身播散、被误诊为结核病的马尔尼菲青霉菌病患者的诊治过程,并分析探讨经验得失,以供临床参考.
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Key words
Penicillium chrysogenum,Mycoses,Tuberculosis,Referral and consultation,Diagnosis,differential,Outcome and process assessment (health care)
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