Mr. Zhang (pseudonym), who is in his 50s, was diagnosed with a lung nodule.
What I didn't expect was.
This nodule in the space of half a year.
It's like being injected with a catalyst.
Rapidly tripled.
This scared Mr. Zhang into a cold sweat.
What the hell is going on?
Chest tightness and shortness of breath, his lung nodules grew rapidly.
There are many people with pulmonary nodules, and they didn't take it seriously at all, but they didn't expect it to develop so quickly. Mr. Zhang, who is in good health, has frequently visited the hospital for medical treatment in the past six months.
When the doctor interrogated, it was learned that half a year ago, he had inexplicable symptoms of chest tightness, and then through examination, it was found that his lungs had 0Nodules of about 5 centimeters, no other abnormalities, the doctor ordered regular reexamination, and Mr. Zhang breathed a sigh of relief.
After half a year of medication, Mr. Zhang's chest tightness and shortness of breath did not improve significantly, and even became more and more severe. Two weeks ago, Mr. Zhang went to the hospital again for examination, and the lung nodule had enlarged to 15 cm, there are also cavities to form ......
Doctors found that the NGS sequencing of his lung biopsy revealed that Mr. Zhang had an infection with Cyanillium Marnefi (also known as Penicillium marnefi) in his lungs, which is rare in Zhejiang.
How can you get infected with this bacteria?In order to further **, Mr. Zhang came to Zhejiang Provincial People's Hospital for treatment.
Preys on bamboo rats, he is infected with rare fungi.
After the attending doctor asked about his medical history, he examined Mr. Zhang again and confirmed that he was infected with Cyanobacterium Marneffelds, and the question is, this fungus can only be felt by immunodeficient patients, how can Mr. Zhang, who has normal immune function, be infected?
Epidemiological investigation shows that T. marnefi infection mainly occurs in Southeast Asia and southern regions such as Guangdong, China, and most of the infected cases in other regions have lived or traveled to Southeast Asia and other places, but Mr. Zhang has been staying in Zhejiang and has never been to Southeast Asian countries and southern China, so how could he be infected?
According to the attending doctor, it has been found that humans and bamboo rats are the main hosts of Cyanobacterium Marnefi, and in addition to being susceptible to infection in Southeast Asia, they have come into contact with bamboo rats, carriers of Basketia marnefi. So, the doctor asked carefully again and finally found the clue. It turned out that Mr. Zhang had caught wild bamboo rats in the mountains near his home five years ago, and then slaughtered them himself and ate them.
At this point, the doctor immediately formulated a targeted antifungal** program for Mr. Zhang, who is currently in stable condition but needs regular follow-up**.
Cyanobacterium marnefi is a fungus that can cause systemic infection, mainly through airborne transmission (i.e., infection by inhalation of conidia from the host carrying the organism), and is a common opportunistic fungal infection in immunocompromised patients (such as AIDS, long-term use of hormones, organ transplantation, blood diseases, etc.) and other immunocompromised people.
It is important to note that humans are infected with C. marnefi.
It doesn't have to be immediate, it may be.
The human body is dormant for up to 10 years.
before symptoms appear.
Symptoms are:
Once infected, it can spread to multiple tissues and organs such as lungs, liver, and lymph nodes, and the clinical symptoms can be manifested as respiratory symptoms such as dyspnea, chest tightness, chest pain, etcGastrointestinal symptoms such as diarrhea, abdominal pain, and skin lesions such as maculopapular rash.
Those who are immunocompromised and have not received **.
The mortality rate of patients infected with T. marnefi is as high as more than 90%.
Doctors said that bamboo rats are carriers of Cyanilla marnefi, and some people living in mountainous areas will catch bamboo rats for food, and may inhale conidia and become infected during the process of capturing and slaughtering bamboo rats. Judging from the above cases, there is a risk of infection even if a healthy person comes into contact with it, so don't take it lightly. The wisest thing to do is not to prey on game such as bamboo rats to avoid being attacked by "wild mushrooms".
The doctor reminded that it had been exposed to bamboo rats.
Patients with infection-related symptoms must seek medical attention in time, make a clear diagnosis as soon as possible, and start standardized antifungal ** as soon as possible to avoid life-threatening aggravation of infection.
*: Chao News, News Workshop.
Editor-in-charge: Li Huaxi.
Review: Wang Longlong.
Reviewer: Wang Cen Yu.
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