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前臂静脉穿刺后发生毛霉菌病感染。

Mucormycosis infection following intravenous access in the forearm.

作者信息

Wollstein Ronit, Palekar Alka

机构信息

Department of Surgery, Division of Plastic and Reconstructive Surgery;

出版信息

Can J Plast Surg. 2010 Summer;18(2):e30-2.

Abstract

Mucormycosis is an opportunistic infection that is often fatal, requiring aggressive local control as well as systemic therapy. A rare case of a forearm infection originating in a traumatic intravenous access portal is described in the present study. The Mucor species infection prevented liver transplant, and the patient passed away. In the present case, it was decided to limit the resection to the skin and subcutaneous tissue based on a frozen section and the viability of the biopsied tissue. With consistently rising numbers of immunocompromised patients, awareness and familiarity with mucormycosis in the extremities is important. Knowing that a minimal traumatic event may precede the infection could assist in prevention and early diagnosis. Guidelines for pathological and clinical diagnosis and treatment need to be further clarified.

摘要

毛霉病是一种机会性感染,通常会致命,需要积极的局部控制以及全身治疗。本研究描述了一例罕见的起源于创伤性静脉通路部位的前臂感染病例。毛霉属感染导致肝移植手术无法进行,患者最终去世。在本病例中,根据冰冻切片和活检组织的活力,决定将切除范围限制在皮肤和皮下组织。随着免疫功能低下患者数量的持续增加,提高对肢体毛霉病的认识并熟悉该病很重要。了解到感染前可能有轻微创伤事件有助于预防和早期诊断。病理及临床诊断与治疗指南有待进一步明确。

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本文引用的文献

8
Aeromonas hydrophila myonecrosis accompanying mucormycosis five years after bone marrow transplantation.
Eur J Clin Microbiol Infect Dis. 1995 Mar;14(3):237-40. doi: 10.1007/BF02310364.
10
Case report. Nasopharyngeal mucormycosis.病例报告。鼻咽毛霉菌病。
J Comput Assist Tomogr. 1981 Oct;5(5):767-70. doi: 10.1097/00004728-198110000-00035.

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