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印度中央邦(Madhya Pradesh,简称 M.P.)由微小毛霉和米根霉引起的接合菌病:两例报告。

Zygomycosis caused by Rhizopus microsporus and Rhizopus oryzae in Madhya Pradesh (M.P.) Central India: a report of two cases.

机构信息

Department of Biological Sciences, Rani Durgavati University, Jabalpur, Madhya Pradesh, India.

出版信息

Mycopathologia. 2012 Aug;174(2):171-6. doi: 10.1007/s11046-012-9532-0. Epub 2012 Mar 23.

DOI:10.1007/s11046-012-9532-0
PMID:22437261
Abstract

Zygomycosis encompasses infections due to two distinct orders of fungi, Mucorales and Entomophthorales. With rare exception, Entomophthorales are restricted to tropical areas. By contrast, mucorales are ubiquitous opportunistic fungi, which play a crucial part in the natural decay process. In human pathology, they may be opportunistic agents and be responsible for rare infection called (Mucormycosis) zygomycosis. We report two cases of zygomycosis from Madhya Pradesh, Central India, one caused by Rhizopus oryzae in a diabetic patient and another caused by Rhizopus microsporus in an apparently healthy patient. The cases were diagnosed by direct microscopy, histopathological examination and culture. Both the patients were successfully treated with liposomal amphotericin B. Rhizopus microsporus is, for the first time reported from Madhya Pradesh, India, causing rhino-maxillary orbital zygomycosis.

摘要

接合菌病包括由两个不同真菌目引起的感染,毛霉目和虫霉目。除了极少数例外,虫霉目仅限于热带地区。相比之下,毛霉目是无处不在的机会性真菌,它们在自然腐烂过程中起着至关重要的作用。在人类病理学中,它们可能是机会性病原体,并导致一种罕见的感染,称为(毛霉病)接合菌病。我们报告了来自印度中央邦的两例接合菌病病例,一例由糖尿病患者中的根霉引起,另一例由 apparently 健康患者中的微小根霉引起。这些病例通过直接显微镜检查、组织病理学检查和培养进行诊断。两名患者均成功接受了脂质体两性霉素 B 治疗。微小根霉首次从印度中央邦报告,引起鼻上颌眶部接合菌病。

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本文引用的文献

1
Orbital Apex Syndrome due to mucormycosis caused by Rhizopus microsporum.由微小根霉引起的毛霉菌病导致的眶尖综合征。
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Spectrum of zygomycete species identified in clinically significant specimens in the United States.在美国具有临床意义的标本中鉴定出的接合菌物种谱。
急性髓系白血病患者并发毛霉病,采用脂质体两性霉素 B 联合地拉罗司和高压氧治疗获得成功。
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Invasive rhino-orbital fungal sinusitis following dental manipulation.牙操作后侵袭性鼻-眶真菌性鼻窦炎。
Mycoses. 2009 Jul;52(4):368-71. doi: 10.1111/j.1439-0507.2008.01600.x. Epub 2008 Aug 13.
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Rhino-cerebral zygomycosis resistant to antimycotic treatment: a case report.抗真菌治疗耐药的鼻脑接合菌病:一例报告
Mycoses. 2009 Jan;52(1):87-90. doi: 10.1111/j.1439-0507.2008.01536.x. Epub 2008 May 21.
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Mycoses. 2007 Jul;50(4):247-54. doi: 10.1111/j.1439-0507.2007.01382.x.
8
In vitro susceptibilities of 217 clinical isolates of zygomycetes to conventional and new antifungal agents.217株接合菌临床分离株对传统和新型抗真菌药物的体外敏感性
Antimicrob Agents Chemother. 2007 Jul;51(7):2587-90. doi: 10.1128/AAC.00452-07. Epub 2007 Apr 23.
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The rising trend of invasive zygomycosis in patients with uncontrolled diabetes mellitus.侵袭性接合菌病在糖尿病控制不佳患者中的上升趋势。
Med Mycol. 2006 Jun;44(4):335-42. doi: 10.1080/13693780500464930.
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In vitro activities of posaconazole, fluconazole, itraconazole, voriconazole, and amphotericin B against a large collection of clinically important molds and yeasts.泊沙康唑、氟康唑、伊曲康唑、伏立康唑和两性霉素B对大量临床重要霉菌和酵母菌的体外活性。
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