Fong K M, Seneviratne E M, McCormack J G
Mater Misericordiae Adult Hospital, Queensland, Brisbane, Australia.
Aust N Z J Med. 1990 Feb;20(1):74-7. doi: 10.1111/j.1445-5994.1990.tb00377.x.
We report on a case of a 26-year-old intravenous narcotic abuser with a primary cerebral mucormycotic abscess caused by Rhizopus oryzae. He was treated with a combination of intravenous and intraventricular amphotericin B and surgical drainage with a successful outcome. There was no evidence that his infection was acquired by the rhinocerebral route, it seems likely that he injected himself with a contaminated batch of narcotic or amphetamine. Mucormycosis presenting in this way has been described previously but this is only the second such case to survive. Early diagnosis and treatment is essential for a favourable outcome in this condition.
我们报告了一例26岁的静脉注射麻醉品滥用者，其患有由米根霉引起的原发性脑毛霉菌脓肿。他接受了静脉和脑室内两性霉素B联合治疗以及手术引流，治疗成功。没有证据表明他的感染是通过鼻脑途径获得的，他似乎是注射了一批受污染的麻醉品或安非他命。此前已有以这种方式出现的毛霉菌病的描述，但这是第二例存活的此类病例。对于这种疾病，早期诊断和治疗对于获得良好预后至关重要。
