Abstract
患儿 女,12岁,因急性髓系白血病(AML)行单倍体异基因造血干细胞移植术,术后193 d因呼吸困难行胸部CT确诊胸腔漏气综合征(TALS),予内科治疗无复发;诊断TALS后69 d复查胸部CT提示右肺上叶厚壁空洞形成,给予伏立康唑联合卡泊芬净治疗无效;诊断TALS后114 d肺泡灌洗液病原学提示堪萨斯分枝杆菌感染,给予乙胺丁醇+异烟肼+莫西沙星+克拉霉素联合治疗。随访至诊断TALS 后225 d,仍需低流量给氧支持,复查胸部CT未见加重。.
MeSH terms
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Anti-Bacterial Agents / administration & dosage
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Anti-Bacterial Agents / therapeutic use
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Child
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Hematopoietic Stem Cell Transplantation* / adverse effects
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Humans
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Leukemia, Myeloid, Acute / therapy
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Male
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Mycobacterium Infections, Nontuberculous* / diagnosis
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Mycobacterium Infections, Nontuberculous* / etiology
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Mycobacterium Infections, Nontuberculous* / therapy
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Mycobacterium kansasii*
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Postoperative Complications / etiology
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Tomography, X-Ray Computed