A Case of Pneumomycosis with Paraplegia

  • Sato Kei
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine
  • Yamada Mitsuhiro
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine
  • Hirano Taizo
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine
  • Mitsuhashi Yoshiya
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine
  • Okazaki Tatsuma
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine
  • Tamada Tsutomu
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine
  • Sugiura Hisatoshi
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine
  • Ichinose Masakazu
    Department of Respiratory Medicine, Tohoku University Graduate School of Medicine

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Other Title
  • 両下肢麻痺を来たした肺真菌症の1例

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Abstract

<p>51歳,男性.腰痛後に両下肢麻痺を自覚し,CTやMRIで脊椎への浸潤を伴う左上葉の空洞影を認めた.CTガイド下生検,気管支鏡検査を行うも確定診断を得られず,除圧・生検目的に手術を行い,真菌による硬膜内髄外膿瘍と診断した.Liposomal amphotericin B(L-AMB)アムホテリシンBを投与したが,薬剤性腎障害を発症し,fosfluconazoleに変更し,その後は悪化を認めなかった.肺から脊椎への直接浸潤を来たす疾患として真菌症も鑑別に挙げる必要がある.</p>

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