Bronchopulmonary candidiasis

Description:

Candidiasis of lungs - the damage of bronchial tubes and lungs caused by drozhzhepodobny mushrooms of the sort Candida.

Symptoms of Bronchopulmonary candidiasis:

Symptoms of candidiasis of lungs: fever, short wind, tachycardia, a stethalgia, painful cough with allocation of a scanty mucous phlegm, sometimes with blood streaks, a bronkhospastichesky syndrome.

Candidiasis of lungs is usually combined with heavy and widespread candidiasis of a digestive tract; less often it proceeds separately. At the acute course of a disease small ochazhka of a fibrinous inflammation with a necrosis in the center appear. Further there are suppuration of these ochazhok and formation of cavities. At a prolonged current around ochazhok of a necrosis and pneumonia there is a productive fabric reaction, there is a granulyatsionny fabric, and process comes to an end with fibrosis. Small bronchial tubes at candidiasis of lungs are surprised constantly, in their gleam threads of a mushroom and plentiful leukocytic exudate are visible. Mushrooms can sprout a bronchial tube wall that conducts in hard cases to its necrosis. Damage of upper airways meets rather seldom.

Reasons of Bronchopulmonary candidiasis:

Candidiasis of lungs develops in the conditions of the lowered body resistance caused by other diseases at prolonged treatment by antibiotics of a broad spectrum of activity, corticosteroids, at radiation therapy and chemotherapy of new growths.

Candida mushrooms - the saprophytes living on skin and mucous membranes of the person have pathogenic effect when weakening immunobiological protection of an organism (at chronic diseases, avitaminosis, long reception of antibiotics, immunodepressants). Candidiasis of lungs - the secondary disease arising against the background of bacterial and viral pneumonia, tuberculosis, suppurations, a deep granulocytopenia; it is characterized by tenacious pneumonic ochazhka with a necrosis in the center and a fibrinous exudate in alveoluses which surround a necrosis zone. Also the wall of a bronchial tube can nekrotizirovatsya. An outcome of a disease are formation of purulent cavities or a pneumosclerosis.

Treatment of Bronchopulmonary candidiasis:

The most widespread antifungal drugs are nystatin and levorinum. Nystatin is appointed inside in a daily dose for adults at a severe form of 10 000 000-12 000 000 PIECES, at medium-weight and easy - 6 000 000-8 000 000 PIECES, at a kandidonositelstvo - 3 000 000-4 000 000 PIECES repeated courses for 20-30 days with 7-14-day breaks; levorinum - on 1 500 000 PIECES/days it is similar to nystatin. Sodium salt of nystatin and levorinum is effective for inhalation in the form of an aerosol (150 000 PIECES of drug in 5 ml of the distilled water). It can be applied амфоглюкамин in tablets 400 000-500 000 PIECES/days (in 30-40 min. after food) by courses for 10-30 days; inhalations can be appointed. In hard cases or at inefficiency of other antifungal drugs Amphotericinum of Century can be used.

Fortifying and disintoxication therapy is shown. At the mixed mikoinfektion along with antifungal drugs other means, including antibiotics, hormones are recommended.