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一名多发伤患者的播散性镰刀菌感染

Disseminated Fusarium infection in a multiple trauma patient.

作者信息

Testerman George M, Steagald Melinda K, Colquitt Landon A, Maki Anton

机构信息

Wellmont Holston Valley Level 1 Trauma Center, 134 West Park Drive, Kingsport, TN 37660, USA.

出版信息

South Med J. 2008 Mar;101(3):320-3. doi: 10.1097/SMJ.0b013e318164e392.

Abstract

The hyalohyphomycetes (especially Fusarium sp.) have emerged as significant pathogens in severely immunocompromised patients. Human infections by Fusarium sp. can be superficial or limited to single organs in otherwise healthy patients. Such infections are rare and tend to respond well to therapy. By contrast, disseminated fusarial hylohyphomycosis affects the immunocompromised host and frequently is fatal. Successful outcome is determined by the degree of immunosuppression and the extent of the infection. These infections may be suspected clinically on the basis of a constellation of clinical and laboratory findings, which should lead to prompt therapy.

摘要

透明丝孢霉病(尤其是镰刀菌属)已成为严重免疫功能低下患者的重要病原体。镰刀菌属感染人类在健康个体中可能为浅表感染或局限于单个器官。此类感染较为罕见,且往往对治疗反应良好。相比之下,播散性镰刀菌透明丝孢霉病会影响免疫功能低下宿主,且常常是致命的。治疗成功与否取决于免疫抑制程度和感染范围。根据一系列临床和实验室检查结果,临床上可怀疑这些感染,进而应及时进行治疗。

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