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淋巴结肿大、胸痛、胸腔积液、生长缓慢、毓卓
Pulmonary blastomycosis (Gilchrist disease/North American blastomycosis) is chronic granulomatous/pyogenic disease by Blastomyces dermatitidis; any site, mainly skin/lung/bone. Dimorphic soil fungus.
Lymphadenopathy; chest pain; pleural effusion; slow growth; Yu Zhuo
Inhalation = main route; lung = primary site; dissemination to skin/bone; rare inoculation. Pulmonary lesions: polymorphous from acute exudative to chronic proliferative (typical).
Drug therapy, supportive therapy
Species-specific antifungals; early treatment; course 0.5-2 years; severe = amphotericin B + flucytosine synergy.
It is recommended to visit the Respiratory department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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