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一例阿萨希毛孢子菌、白假丝酵母菌混合尿路感染病例分析
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Abstract:
患者，男，56岁，10年前曾行“左肾切除术”和“膀胱切开取石术”，4个月前因右肾多发结石并重度积水行“右侧输尿管双J管置入术”，2个月前诊断慢性肾衰竭，多次行血液透析治疗，1月前确诊膀胱恶性肿瘤(膀胱高级别浸润性尿路上皮癌)，现今因血尿3天入院。入院体温37.8℃，经头孢唑肟抗感染治疗仍反复发热。行中段尿培养，检出阿萨希毛孢子菌、白假丝酵母菌，予“哌拉西林他唑巴坦钠 + 氟康唑”治疗，经联合抗感染治疗3后天无发热。
A 56-years-old male patient is in hospital based on chief complaint of hematuria. The patient un-derwent left nephrectomy and cystolithotomy 10 years ago. Four months ago, he underwent right ureteral double J tube placement due to multiple stones and severe hydronephrosis in the right kidney. Two months ago, he was diagnosed with chronic renal failure and received multiple hemo-dialysis treatments. The patient was diagnosed with high-grade invasive urothelial carcinoma of the bladder more than one month ago, and is now hospitalized for hematuria for 3 days. The body tem-perature at admission was 37.8？C, and the patient still had recurrent fever after anti-infection treatment with ceftizoxime. Trichosporon asahii and Candida albicans were detected by urine cul-ture, then he was treated with piperacillin tazobactam sodium and fluconazole. After 3 days of com-bined anti-infective treatment, his temperature returned to normal.
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