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采用药物与手术联合治疗成功治愈一名异基因骨髓移植受者的肺毛霉菌病。

Successful treatment of pulmonary mucormycosis in an allogenic bone-marrow transplant recipient with combined medical and surgical therapy.

作者信息

Pavie Juliette, Lafaurie Matthieu, Lacroix Claire, Marie Zagdanski Anne, Debrosse Denis, Socié Gérard, Derouin Francis, Gluckman Eliane, Michel Molina Jean

机构信息

Service des Maladies Infectieuses et Tropicales, Paris, France.

出版信息

Scand J Infect Dis. 2004;36(10):767-9. doi: 10.1080/00365540410021081.

DOI:10.1080/00365540410021081
PMID:15513407
Abstract

Mucormycosis is a rare, but severe, complication in allogenic bone-marrow recipients with a mortality rate of about 80%. Moreover, its incidence appears to have increased within the last decade. We report a case of pulmonary and nasal mucormycosis in a 55-y-old patient, which occurred 1 y after BMT. Treatment combining 4 months of amphotericin B, early surgical resection of infected tissue and discontinuation of immunosuppressive treatment allowed the cure of this mould infection.

摘要

毛霉菌病是异基因骨髓移植受者中一种罕见但严重的并发症,死亡率约为80%。此外,在过去十年中其发病率似乎有所上升。我们报告一例55岁患者发生的肺和鼻毛霉菌病,该病例在骨髓移植后1年出现。联合使用4个月的两性霉素B、早期手术切除感染组织以及停用免疫抑制治疗治愈了这种霉菌感染。

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