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一名既往健康患者发生鼻脑型毛霉菌病和颈内动脉血栓形成。

Rhinocerebral mucormycosis and internal carotid artery thrombosis in a previously healthy patient.

作者信息

Quattrocolo G, Pignatta P, Dimanico U, Tarenzi L, Baggiore P

机构信息

Istituto Malattie del Sistema Nervoso Università di Torino.

出版信息

Acta Neurol Belg. 1990;90(1):20-6.

PMID:2111071
Abstract

Mucormycosis is a very serious fungal infection caused by habitual saprophytes of the human organism, in many cases concomitant with various pathological conditions marked by immunodepression. The rhinocerebral variant habitually accompanies ketoacidotic diabetes. We report a case of rhinocerebral mucormycosis in a subject free from immunodepression and non-diabetic, in apparently normal health. Following treatment with amphotericin B combined with 5-fluorocytosine and surgery, remission of the disease was finally secured and about one year after the last operation there are no sign of resumption.

摘要

毛霉菌病是一种由人体正常腐生菌引起的非常严重的真菌感染,在许多情况下与以免疫抑制为特征的各种病理状况同时存在。鼻脑型毛霉菌病通常并发酮症酸中毒糖尿病。我们报告一例无免疫抑制且非糖尿病、健康状况看似正常的患者发生鼻脑型毛霉菌病的病例。经两性霉素B联合5-氟胞嘧啶治疗及手术后,疾病最终得以缓解,最后一次手术后约一年未出现复发迹象。

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