ニューモシスチス症、ニューモシスティス症
- 関
- interstitial plasma cell pneumonia、Pneumocystis carinii pneumonia、Pneumocystis pneumonia
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2013/08/31 14:19:13」(JST)
[Wiki en表示]
Pneumocystosis is an infection by Pneumocystis jirovecii that primarily occurs as a pulmonary infection AIDS patients, with extrapulmonary involvement being uncommon but, if occurring in the skin, presenting most often as nodular growths in the auditory canal.[1]:442
See also[edit source | edit]
References[edit source | edit]
- ^ James, William D.; Berger, Timothy G.; et al. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN 0-7216-2921-0.
Infectious diseases · Mycoses and Mesomycetozoea (B35–B49, 110–118)
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Superficial and
cutaneous
(dermatomycosis):
Tinea=skin;
Piedra (exothrix/
endothrix)=hair |
Ascomycota
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Dermatophyte
(Dermatophytosis)
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By location
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Tinea barbae/Tinea capitis (Kerion) · Tinea corporis (Ringworm, Dermatophytid) · Tinea cruris · Tinea manuum · Tinea pedis (Athlete's foot) · Tinea unguium/Onychomycosis (White superficial onychomycosis · Distal subungual onychomycosis · Proximal subungual onychomycosis)
Tinea corporis gladiatorum · Tinea faciei · Tinea imbricata · Tinea incognito · Favus
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By organism
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Epidermophyton floccosum · Microsporum canis · Microsporum audouinii · Trichophyton interdigitale/mentagrophytes · Trichophyton tonsurans · Trichophyton schoenleini · Trichophyton rubrum
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Other
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Hortaea werneckii (Tinea nigra) · Piedraia hortae (Black piedra)
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Basidiomycota
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Malassezia furfur (Tinea versicolor, Pityrosporum folliculitis) · Trichosporon spp (White piedra)
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Subcutaneous,
systemic,
and opportunistic |
Ascomycota
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Dimorphic
(yeast+mold)
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Onygenales
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Coccidioides immitis/Coccidioides posadasii (Coccidioidomycosis, Disseminated coccidioidomycosis, Primary cutaneous coccidioidomycosis. Primary pulmonary coccidioidomycosis) · Histoplasma capsulatum (Histoplasmosis, Primary cutaneous histoplasmosis, Primary pulmonary histoplasmosis, Progressive disseminated histoplasmosis) · Histoplasma duboisii (African histoplasmosis) · Lacazia loboi (Lobomycosis) · Paracoccidioides brasiliensis (Paracoccidioidomycosis)
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Other
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Blastomyces dermatitidis (Blastomycosis, North American blastomycosis, South American blastomycosis) · Sporothrix schenckii (Sporotrichosis) · Penicillium marneffei (Penicilliosis)
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Yeast-like
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Candida albicans (Candidiasis, Oral, Esophageal, Vulvovaginal, Chronic mucocutaneous, Antibiotic candidiasis, Candidal intertrigo, Candidal onychomycosis, Candidal paronychia, Candidid, Diaper candidiasis, Congenital cutaneous candidiasis, Perianal candidiasis, Systemic candidiasis, Erosio interdigitalis blastomycetica) · C. glabrata · C. tropicalis · C. lusitaniae · Pneumocystis jirovecii (Pneumocystosis, Pneumocystis pneumonia)
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Mold-like
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Aspergillus (Aspergillosis, Aspergilloma, Allergic bronchopulmonary aspergillosis, Primary cutaneous aspergillosis) · Exophiala jeanselmei (Eumycetoma) · Fonsecaea pedrosoi/Fonsecaea compacta/Phialophora verrucosa (Chromoblastomycosis) · Geotrichum candidum (Geotrichosis) · Pseudallescheria boydii (Allescheriasis)
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Basidiomycota
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Cryptococcus neoformans (Cryptococcosis), Trichosporon spp (Trichosporonosis)
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Zygomycota
(Zygomycosis)
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Mucorales
(Mucormycosis)
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Rhizopus oryzae · Mucor indicus · Absidia corymbifera · Syncephalastrum racemosum
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Entomophthorales
(Entomophthoramycosis)
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Basidiobolus ranarum (Basidiobolomycosis) · Conidiobolus coronatus/Conidiobolus incongruus (Conidiobolomycosis)
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Microsporidia
(Microsporidiosis)
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Enterocytozoon bieneusi/Encephalitozoon intestinalis
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Mesomycetozoea |
Rhinosporidium seeberi (Rhinosporidiosis)
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Ungrouped |
Alternariosis · Fungal folliculitis · Fusarium (Fusariosis) · Granuloma gluteale infantum · Hyalohyphomycosis · Otomycosis · Phaeohyphomycosis
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UpToDate Contents
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English Journal
- A serologic test to diagnose pneumocystis pneumonia: are we there yet?
- Morris AM, Masur H.SourceUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.Clin Infect Dis.2011 Jul;53(2):203-4.
- PMID 21690629
- Blood (1->3)-{beta}-D-Glucan as a Diagnostic Test for HIV-Related Pneumocystis jirovecii Pneumonia.
- Sax PE, Komarow L, Finkelman MA, Grant PM, Andersen J, Scully E, Powderly WG, Zolopa AR; for the AIDS Clinical Trials Group Study A5164 Team.SourceDivision of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School.
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.Clin Infect Dis.2011 Jul;53(2):197-202.
- (See the editorial commentary by Morris and Masur, on pages 203-204.) Background.?Improved noninvasive diagnostic tests for Pneumocystis jirovecii pneumonia (PCP) are needed. We evaluated the test characteristics of plasma (1→3)-β-D-glucan (β-glucan) for HIV-related PCP among a large group of
- PMID 21690628
Japanese Journal
- Clinical Evaluation of Diagnostic Methods Using Plasma and/or Serum for Three Mycoses:Aspergillosis, Candidosis, and Pneumocystosis
- MORI Takeshi,MATSUMURA Makiko
- 日本医真菌学会雑誌 = Japanese journal of medical mycology 40(4), 223-230, 1999-10-30
- NAID 10005005533
- Clinical evaluation of diagnostic methods using plasma and/or serum for three mycoses : aspergillosis, candidosis, and pneumocystosis
Related Links
- Pneumocystosis is an infection by Pneumocystis jirovecii that primarily occurs as a pulmonary infection AIDS patients, with extrapulmonary involvement being uncommon but, if occurring in the skin, presenting most often as nodular ...
Related Pictures
★リンクテーブル★
[★]
- 英
- pneumocystis pneumonia, pneumocystis jirovecii pneumonia pneumocystis jirovecn pneumonia
- 同
- カリニ肺炎 carinii pneumonia、Pneumocystis肺炎
- ニューモシスチス・カリニ肺炎 pneumocystis carinii pneumonia PCP、ニューモシスチス・カリニ肺炎、ニューモシステイスカリニ肺炎
- 関
- ニューモシスチス症 pneumocystosis
病原体
病因
- IMD.1083
- 剖検例で悪性リンパ腫の1/4、成人T細胞白血病の1/10、全身性エリテマトーデスの1/20 に認められる。
- AIDSに高率に合併。
リスク因子
非HIV
- 別の易感染性の原因を有するグルココルチコイド投与患者
- 他の免疫抑制薬
- 細胞性免疫不全
- 悪性腫瘍(特に造血系悪性腫瘍)
- 造血幹細胞移植(HCT、特にallogeneic HCT)
- 固形臓器の臓器移植
- 拒絶反応に対する治療
- 炎症状態に対する治療(例えば、多発血管炎を伴う肉芽腫症など(ウェゲナー肉芽腫症)
- 重症の低栄養(特に低蛋白)
- 一次性免疫不全(特に重症複合免疫不全)
- 未熟児
症状
検査
- 末梢血液検査:リンパ球数減少。
- 胸部X線検査:肺門から両肺野にかけて微細な網状から索状影を認め、徐々にすりガラス様陰影となる。
- 呼吸機能検査:PaO2 が基準値の 1/2~1/3 に低下。PaCO2 は上昇することもある。
- (USMLE:first aid step1 2006 p.147)
- diagnosed by lung biopsy or lavage
- identified by methenamine silver stain of lung tissue
胸部X線写真
治療
予後
国試
[★]
間質形質細胞性肺炎
- 関
- Pneumocystis carinii pneumonia、Pneumocystis pneumonia、pneumocystosis