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复发性急性淋巴细胞白血病中的冠状霉病

Conidiobolomycosis in relapsed acute lymphoblastic leukemia.

作者信息

Radhakrishnan Nita, Sachdeva Anupam, Oberoi Jaswinder, Yadav Satya Prakash

机构信息

Pediatric Hematology Oncology and BMT Unit, Department of Pediatrics, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India.

出版信息

Pediatr Blood Cancer. 2009 Dec 15;53(7):1321-3. doi: 10.1002/pbc.22259.

Abstract

Invasive fungal infections in immunocompromised children suffering from hematological malignancies have been a major cause of morbidity and mortality. In recent years fungi other than aspergillus and candida are gaining importance. These emerging fungal infections have distinct epidemiological features and management issues especially in immunocompromised patients. Here we report the isolation of Conidiobolus coronatus, a rarely reported zygomycetes infection in a patient suffering from acute lymphoblastic leukemia. Conidiobolus generally causes indolent infection in the sino-respiratory tract. They are known to be angioinvasive and can disseminate. There is no consensus regarding appropriate antifungal treatment for Conidiobolus infection.

摘要

患有血液系统恶性肿瘤的免疫功能低下儿童发生侵袭性真菌感染一直是发病和死亡的主要原因。近年来,除曲霉菌和念珠菌以外的真菌正变得越来越重要。这些新出现的真菌感染具有独特的流行病学特征和管理问题,尤其是在免疫功能低下的患者中。在此,我们报告了在一名急性淋巴细胞白血病患者中分离出冠突耳霉,这是一种罕见报道的接合菌感染。冠突耳霉通常在鼻窦呼吸道引起慢性感染。已知它们具有血管侵袭性并可播散。关于冠突耳霉感染的适当抗真菌治疗尚无共识。

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