Warintarawej A, Winter W G, Goodman N L
South Med J. 1975 Dec;68(12):1570-5. doi: 10.1097/00007611-197512000-00025.
The first case of proven maduromycosis originating in the state of Kentucky, and the 21st case reported in the United States, is described. The disease, which involved the foot, was caused by Monosporium apiospermum. The importance of suspecting and culturing for fungal organisms in cases of chronic or recurrent infections of the extremities is stressed. The method of treatment was experimental; whether true cure was accomplished may not be known for years. Although many fungi, including Monosporium apiospermum, are relatively resistant to all forms of chemotherapy, some types of fungi readily respond to easily administered antibiotics. Specific fungal identification by trained mycologists is important in all cases of mycetoma.
本文描述了首例经证实源自肯塔基州的足分支菌病病例，这也是美国报告的第21例该疾病。该疾病累及足部，由尖端单孢霉引起。强调了在慢性或复发性肢体感染病例中怀疑并培养真菌病原体的重要性。治疗方法是试验性的；多年后才能知道是否实现了真正的治愈。尽管许多真菌，包括尖端单孢霉，对所有形式的化疗都具有相对抗性，但某些类型的真菌对易于使用的抗生素反应良好。在所有足菌肿病例中，由训练有素的真菌学家进行特定真菌鉴定很重要。
