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白色念珠菌感染临床上较为常见,但多系统同时感染尚未见报道.我们于1998年9月和1999年3月从2例病人的血液、尿、痰及粪便均检出该菌,现报告如下.1 病例介绍病例1,女,23岁,因重症肝炎腹水入院.体检:T38℃,神志清,皮肤巩膜黄染,左肺呼吸音低,腹水征阳性.WBC 11.8×10~9/L、N 0.60、L 0.40、ALT228μmol/L、TBIL 512μmol/L、DBIL 155.3μmol/L.腹水检查,李瓦特试验+、细胞.胸透左侧少量积液.血培养2次均分离出白色念珠菌,尿液、痰液及粪便亦分离出白色念珠菌.住院15d,因呼吸循环衰竭而死亡.病例2,男,23岁.因发热4d,恶心,呕吐伴全身抽搐1d,以“脑炎”入院.体检:T 37-38.5℃,中度昏迷,颈桔抗+.WBC21.2×10~9/L、N0.89、L 0.11.脑脊液潘
Candida albicans infection clinically more common, but the simultaneous infection of multiple systems have not been reported.We in September 1998 and March 1999 from 2 patients were blood, urine, sputum and faeces were detected in the following report is as follows .1 Case Description Case 1, Female, 23 years old, admitted to hospital due to severe hepatitis with ascites.Patients with T38 ℃, Shenzhiqing, scleral yellowish skin, low left lung breath and positive ascites.WBC 11.8 × 10 ~ 9 / L, N 0.60, L 0.40, ALT 228μmol / L, TBIL 512μmol / L, DBIL 155.3μmol / L. Ascites, Liwat test +, a small amount of fluid on the left side of the thoracic cavity. Candida albicans was isolated from blood culture twice, Candida albicans was also isolated from urine, sputum and excrement, and was hospitalized for 15 days because of respiratory failure. Case 2, male, aged 23, was hospitalized with “encephalitis” for 4 days because of fever and nausea and vomiting with systemic convulsions Physical examination: T 37-38.5 ℃, moderate coma, neck orange resistance + .WBC21.2 × 10 ~ 9 / L, N0.89, L 0.11. Cerebrospinal fluid Pan