科研之友
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摘要
Fungal infections, especially in immunocompetent children are uncommon causes of fever of unknown origin. A 5-year-old boy with prolonged fever and no evidence of immunosuppression. Ultrasound-guided retroperitoneal lymph node biopsy showed granulomas and intracytoplamic fungal yeasts; staining charactristics were suggestive of cryptococci. Clinical and radiological improvement was seen after treatment with amphoterecin-B. Disseminated fungal infection should be suspected as a cause of pyrexia of unknown origin after ruling out the commoner causes. Biopsy from enlarged lymph node or organomegaly may yield the diagnosis when non-invasive tests fail.
- 出版日期2014-3
- 单位河北医科大学
