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曲霉菌属 Corymbifera 引起的坏死性筋膜炎,患者使用未经消毒的绷带包扎伤口。

Necrotising fasciitis due to Absidia corymbifera in wounds dressed with non sterile bandages.

机构信息

Department of Pathology and Medicine, Aga Khan University Hospital, Karachi, Pakistan.

出版信息

Int Wound J. 2011 Dec;8(6):651-5. doi: 10.1111/j.1742-481X.2011.00839.x. Epub 2011 Aug 25.

DOI:10.1111/j.1742-481X.2011.00839.x
PMID:21883933
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7950822/
Abstract

We present three cases of Absidia corymbifera necrotising fasciitis presenting to our centre within 1 month of each other. All patients had wound dressings with non sterile crepe bandages at peripheral centres. One patient was lost to follow-up, another improved on timely antifungal therapy, while the last patient succumbed to disseminated infection. We propose that traumatic and deep wounds be dressed with sterile roller bandages to prevent outbreaks of wound zygomycosis.

摘要

我们报告了三例根毛霉所致坏死性筋膜炎的病例,这些病例在 1 个月内相继出现在我们中心。所有患者在周边中心均使用未消毒的弹性绷带进行伤口包扎。1 例患者失访,另 1 例患者及时接受抗真菌治疗后好转,而最后 1 例患者则死于播散性感染。我们建议对创伤性和深部伤口使用无菌卷带包扎,以预防伤口毛霉病的爆发。

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本文引用的文献

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Revision of the genus Absidia (Mucorales, Zygomycetes) based on physiological, phylogenetic, and morphological characters; thermotolerant Absidia spp. form a coherent group, Mycocladiaceae fam. nov.基于生理、系统发育和形态学特征对犁头霉属(毛霉目,接合菌纲)进行修订;耐热犁头霉物种构成一个连贯的类群,新科——枝霉科。
Mycol Res. 2007 Oct;111(Pt 10):1169-83. doi: 10.1016/j.mycres.2007.07.002. Epub 2007 Jul 20.
2
Epidemiology and outcome of zygomycosis: a review of 929 reported cases.毛霉菌病的流行病学与转归:929例报告病例的综述
Clin Infect Dis. 2005 Sep 1;41(5):634-53. doi: 10.1086/432579. Epub 2005 Jul 29.
3
An outbreak of Absidia corymbifera infection associated with bandage contamination in a burns unit.烧伤病房中与绷带污染相关的伞枝犁头霉感染暴发。
J Hosp Infect. 2005 Sep;61(1):88. doi: 10.1016/j.jhin.2004.12.011.
4
Novel perspectives on mucormycosis: pathophysiology, presentation, and management.毛霉菌病的新视角:病理生理学、临床表现及治疗
Clin Microbiol Rev. 2005 Jul;18(3):556-69. doi: 10.1128/CMR.18.3.556-569.2005.
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Br J Ind Med. 1963 Apr;20(2):82-94. doi: 10.1136/oem.20.2.82.
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Wound zygomycosis: two cases with unusual manifestations.创伤性接合菌病:两例表现异常的病例
Int J Infect Dis. 2001;5(2):107-11. doi: 10.1016/s1201-9712(01)90036-0.
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Rhinocerebral invasive mycosis: occurrence in immunocompetent individuals.鼻脑侵袭性真菌病:在免疫功能正常个体中的发生情况。
Eur J Radiol. 1995 Jul;20(2):151-5. doi: 10.1016/0720-048x(95)00644-6.