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聚焦儿科血液肿瘤患者侵袭性毛霉菌病:11 例系列病例。

Focus on invasive mucormycosis in paediatric haematology oncology patients: a series of 11 cases.

机构信息

Service d'Hémato-oncologie pédiatrique, Hôpital Brabois-Enfant, Vandoeuvre-les-Nancy, France.

出版信息

Mycoses. 2013 May;56(3):236-40. doi: 10.1111/myc.12010. Epub 2012 Oct 1.

Abstract

Mucormycosis has emerged as an increasingly important infection in oncology centres with high mortality, especially in severely immunocompromised patients. We carried out a retrospective study of 11 children with mucormycosis treated in seven French oncology-haematology paediatric wards during the period from 1991 to 2011. Lichtheimia corymbifera and Mucor spp. were the predominant pathogens. Treatment regimens included antifungal therapy, reversal of underlying predisposing risk factors and surgical debridement. Although mucormycosis is associated with high mortality, this infection could be cured in eight of our cases of severely immunocompromised paediatric cancer patients.

摘要

毛霉病已成为肿瘤中心中一种日益重要的感染,死亡率很高,尤其是在严重免疫功能低下的患者中。我们对 1991 年至 2011 年间法国七个肿瘤血液病儿科病房中 11 例毛霉病患儿进行了回顾性研究。亮菌属和毛霉属是主要病原体。治疗方案包括抗真菌治疗、纠正潜在的诱发危险因素和手术清创。尽管毛霉病与高死亡率相关,但在我们的 8 例严重免疫功能低下的儿科癌症患者中,感染可以治愈。

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