Katkar V J, Tankhiwale Supriya S, Kurhade Arvind
Department of Microbiology, Government Medical College, Nagpur, India.
Indian J Dermatol. 2011 May;56(3):315-7. doi: 10.4103/0019-5154.82490.
A young apparently healthy, non-diabetic, HIV non-reactive woman presented with a mycetoma-like lesion on right buttock. Discharge was scanty, and mycotic grains were not seen. Biopsy of sinus track was obtained for microscopy and culture. Microscopic examination revealed plenty of fungal hyphae in direct microscopic examination of grounded tissues in saline; KOH, Gram's, and H and E-stained smears. All the three inoculated slants of Sabouraud's media yielded heavy growth of Fusarium solani. Presence of numerous hyphal fragments in direct microscopy and heavy growth of F. solani in all three slants indicative of etiological role of fungus in the present case. It is probably a first report of F. soloni mycetoma from India.
一名年轻、看似健康、非糖尿病且HIV检测呈阴性的女性,右侧臀部出现了一个类似足菌肿的病变。分泌物很少,未见到真菌颗粒。获取了窦道的活检组织用于显微镜检查和培养。显微镜检查显示,在生理盐水处理的研磨组织的直接显微镜检查、KOH染色涂片、革兰氏染色涂片以及苏木精-伊红(H&E)染色涂片中均发现大量真菌菌丝。接种于沙氏培养基的所有三个斜面均长出了大量茄病镰刀菌。直接显微镜下存在大量菌丝片段以及所有三个斜面均长出大量茄病镰刀菌,表明真菌在本病例中具有病因学作用。这可能是印度关于茄病镰刀菌足菌肿的首例报道。