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一名免疫功能低下患者发生弯孢瓶霉血症:病例报告

Phialemonium curvatum fungaemia in an immunocompromised patient: case report.

作者信息

Persy B, Vrelust I, Gadisseur A, Ieven M

机构信息

Laboratory of Microbiology, University Hospital of Antwerp, Edegem, Belgium.

出版信息

Acta Clin Belg. 2011 Sep-Oct;66(5):384-6. doi: 10.2143/ACB.66.5.2062593.

Abstract

Although infections due to fungal pathogens are rare, the incidence of such infections has increased over the last few decades, mainly because of growing populations of immunocompromised patients. We report a case of a Phialemonium curvatum fungaemia in a woman with a history of a peripheral stem-cell transplantation. The case is analysed with 20 other cases described in the literature since 1986. Adequate therapeutic management is becoming increasingly important for immunode-pressed patients, in light of a broadened therapeutic choice of antifungals. Therefore precise and timely identification of fungi is needed. Therapeutic options with regard to Phialemonium fungaemia are also discussed.

摘要

尽管由真菌病原体引起的感染很少见,但在过去几十年中,此类感染的发生率有所上升,主要原因是免疫功能低下患者的数量不断增加。我们报告了一例有外周干细胞移植病史的女性发生弯孢瓶霉血症的病例。该病例与自1986年以来文献中描述的其他20例病例进行了分析。鉴于抗真菌药物的治疗选择范围扩大,对免疫抑制患者进行充分的治疗管理变得越来越重要。因此,需要精确及时地鉴定真菌。还讨论了关于弯孢瓶霉血症的治疗选择。

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