
pmid: 3316447
中南米の風土病であるParacoccidioidomycosisの自験例を報告し,本邦における症例についての文献的考察を加える.患者は34才の日本人女性で5年間のブラジル在住歴があり,発熱,全身リンパ節腫大,体重減少等の症状を呈し,肝,脾,骨への病変の広がりを認めた.このなかで肺病変がなく,全身のリンパ節腫大と骨病変を生じたことが本症としては非定型的であった.リンパ節組織所見,培養および血清学的検査にて診断が確定し, amphotericinBとketoconazoleによる約2年間の治療にて完治した. Paracoccidioidomycosisの本邦における報告例はこれまでに5例を数えるのみにすぎないが,国際化の波と共に本疾患に遭遇する可能性が増すことを銘記されたい.
Adult, Ketoconazole, Japan, Amphotericin B, Humans, Drug Therapy, Combination, Female, Paracoccidioidomycosis
Adult, Ketoconazole, Japan, Amphotericin B, Humans, Drug Therapy, Combination, Female, Paracoccidioidomycosis
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