Schweitzer Karl M, Richard Marc J, Leversedge Fraser J, Ruch David S
Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
Am J Orthop (Belle Mead NJ). 2012 May;41(5):E74-5.
Paecilomyces lilacinus is a filamentous fungus that is a rare cause of infection in immunocompromised human hosts. We present a case of lilacinus septic olecranon bursitis in an otherwise healthy 78-year-old male. This patient's case was complicated by wound breakdown after bursectomy and appropriate anti-fungal treatment, requiring a local soft tissue rearrangement. This case demonstrates the need for appropriate and timely medical and surgical treatment in infections involving lilacinus, which are not isolated solely to systemically immunocompromised and medically-ill patient populations. In cases where the patient is systemically immumocompromised or has been rendered locally immunocompromised, it is essential to obtain a full culture work-up, including fungi.
淡紫拟青霉是一种丝状真菌，在免疫功能低下的人类宿主中是罕见的感染原因。我们报告一例78岁健康男性发生淡紫拟青霉性感染性鹰嘴滑囊炎的病例。该患者的病例在滑囊切除术后伤口破裂并接受适当抗真菌治疗后出现并发症，需要进行局部软组织重新排列。该病例表明，对于涉及淡紫拟青霉的感染，需要进行适当及时的药物和手术治疗，这类感染并非仅局限于全身免疫功能低下和患病的患者群体。在患者全身免疫功能低下或局部免疫功能受损的情况下，进行全面的培养检查，包括真菌检查至关重要。
