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1 临床资料 例1,男性,21岁,全身浮肿少尿5年。因慢性肾小球肾炎、尿毒症行同种异体肾移植。体检:发育正常,贫血貌,心肺正常,肝脾未触及。入院后在硬麻下行同种异体肾移植术,开放血流肾脏充盈良好,1 min见尿。术后病人血压逐渐升高至32/18 kPa,双肺呼吸音粗,胸部摄片未见异常。咽部培养:草绿色链球菌、卡他双球菌。术后27d上消化道出血、呼吸急促死亡。显微镜下示:双肺组织肺泡壁及血管内有成用或弥散分布的细杆状菌丝,直径0.5μm,长5～7μm,部分菌丝有横隔。脑,肝组织内均有菌丝、Gomori六胺银染色显示菌丝短棒状。
1 clinical data example 1, male, 21 years old, systemic edema oliguria 5 years. Due to chronic glomerulonephritis, uremia allograft renal transplantation. Physical examination: normal development, anemia appearance, normal heart and lung, liver and spleen not touched. After admission, allograft transplantation was performed in hard anesthesia, and the renal blood flow was well filled in the open blood and urine was exposed for 1 min. After the patient’s blood pressure gradually increased to 32/18 kPa, lung breath sounds thick, no abnormal chest radiography. Pharyngeal culture: Streptococcus viridans, catarrhalis. 27d after upper gastrointestinal bleeding, shortness of breath death. Microscope shows: double lung tissue alveolar wall and blood vessels are useful or diffuse distribution of fine rod-like hyphae, diameter 0.5μm, length 5 ~ 7μm, some mycelial septum. Hyphae were found in brain and liver tissues. Gomori hexamine silver staining showed short mycelium.