一名酒精性脑病患者的上肢毛霉菌病。
Mucormycosis of the upper extremity in a patient with alcoholic encephalopathy.
作者信息
Raizman Noah M, Parisien May, Grafe Michael W, Gordon Rachel J, Rosenwasser Melvin P
机构信息
Trauma Training Center, Department of Orthopaedic Surgery, Columbia University, College of Physicians and Surgeons, New York, NY, USA.
出版信息
J Hand Surg Am. 2007 Mar;32(3):384-8. doi: 10.1016/j.jhsa.2007.01.009.
UNLABELLED
Cutaneous mucormycosis is a rare opportunistic infection caused by fungi of the class Zygomycetes that can be rapidly fatal if unrecognized. The diagnosis of this infection is often made by infectious disease, dermatologic, or intensive care specialists. Lesions that affect the upper limb may require a hand surgeon to diagnose the infection. The diagnosis may be difficult to make, because these infectious lesions can be confused with ischemic pathology. We report on a rare case of cutaneous mucormycosis caused by Rhizopus arrhizus in a patient with cirrhosis and renal failure who presented with an ischemic hand.
TYPE OF STUDY/LEVEL OF EVIDENCE: Diagnostic V.
未标记
皮肤毛霉病是一种由接合菌纲真菌引起的罕见机会性感染，如果未被识别，可能会迅速致命。这种感染的诊断通常由传染病、皮肤科或重症监护专家进行。影响上肢的病变可能需要手外科医生来诊断感染。诊断可能很困难，因为这些感染性病变可能与缺血性病变相混淆。我们报告了一例罕见的由少根根霉引起的皮肤毛霉病病例，该患者患有肝硬化和肾衰竭，表现为手部缺血。
研究类型/证据水平：诊断性病例报告。
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