Li J S, Pan L Q, Wu S X, Su S X, Su S B, Shan L Y
Department of Dermatology, Guangxi Medical College, Nanning.
Chin Med J (Engl). 1991 Mar;104(3):247-51.
Three cases with disseminated Penicilliosis marneffei (PSM) are reported. They are all natives of Guangxi Zhuang Autonomous Region. Among them, 2 died and 1 remains alive. Their clinical features were characterized by multiple organ involvement, multiple subcutaneous abscesses, inflammatory papules, nodules and pustulae, and enlargement of superficial lymph nodes with chills, fever, anemia and leukocytosis. The mycology and histopathology of PSM are also discussed. The authors propose that the medical profession in Guangxi should be vigilant against the disease and reduce the mortality by early diagnosis and treatment.
报告了3例播散性马尔尼菲青霉病(PSM)病例。他们均为广西壮族自治区本地人。其中,2例死亡,1例存活。其临床特征为多器官受累、多发性皮下脓肿、炎性丘疹、结节和脓疱,以及浅表淋巴结肿大,并伴有寒战、发热、贫血和白细胞增多。文中还讨论了PSM的真菌学和组织病理学。作者建议广西的医疗行业应对该病保持警惕,并通过早期诊断和治疗降低死亡率。