Anandi V, Vishwanathan P, Sasikala S, Rangarajan M, Subramaniyan C S, Chidambaram N
Department of Microbiology, Raja Muthiah Medical College and Hospital, Annamalai University, Chidambaram - 608 002, Tamil Nadu, India.
Indian J Med Microbiol. 2005 Jul;23(3):198-9. doi: 10.4103/0255-0857.16596.
An unusual manifestation of breast fusariosis was encountered in a 55-year-old female diabetic patient. Two fine needle aspirates (FNA) from the abscess were done at three days interval and they showed hyaline, septate, branched, fungal hyphae in 10% potassium hydroxide mount. Fungal infection was confirmed by demonstrating the fungal hyphae in the midst of lymphocytes, macrophages and neutrophils in Leishman stained smears. Culture of both FNAs yielded a heavy and pure growth of Fusarium solani. The patient responded to oral ketoconazole 200 mg once daily for 3 weeks. The breast fusariosis reported here is presumably the first case in India.
一名55岁的女性糖尿病患者出现了乳房镰刀菌病的罕见表现。在三天的间隔时间内对脓肿进行了两次细针穿刺抽吸(FNA),在10%氢氧化钾涂片上显示有透明、有隔膜、分支的真菌菌丝。通过在利什曼染色涂片中的淋巴细胞、巨噬细胞和中性粒细胞中发现真菌菌丝,证实了真菌感染。两次FNA培养均产生了茄病镰刀菌的大量纯培养物。患者对每日一次口服200毫克酮康唑,持续3周有反应。此处报告的乳房镰刀菌病可能是印度的首例病例。