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病例报告:米替福新长期治疗感染墨氏无鞭毛体的弥漫性皮肤利什曼病患者取得短暂成功。

Case report: Transient success using prolonged treatment with miltefosine for a patient with diffuse cutaneous leishmaniasis infected with Leishmania mexicana mexicana.

机构信息

Department of Medicine, University Hospital Dr. José Eleuterio González, Monterrey, Nuevo Leon, México.

出版信息

Am J Trop Med Hyg. 2013 Jan;88(1):153-6. doi: 10.4269/ajtmh.2012.11-0592. Epub 2012 Dec 12.

Abstract

Leishmania sp. is an intracellular parasite that causes a variable degree of clinical manifestations, especially in the skin. We present the case of a 38-year-old male with a chronic history of mucocutaneous disease present since childhood that generated deformity, loss of cartilage in the ears and nose, and scarring that limited his range of motion. The parasite was identified as L. mexicana mexicana. The patient was treated with a 3-month course of oral miltefosine with overwhelming results.

摘要

利什曼原虫是一种细胞内寄生虫,可引起不同程度的临床表现,尤其是在皮肤中。我们报告了一例 38 岁男性病例,他自幼患有慢性黏膜皮肤疾病,导致耳和鼻部畸形、软骨缺失以及疤痕形成,从而限制了其运动范围。该寄生虫被鉴定为墨西哥利什曼原虫。该患者接受了 3 个月的米替福新口服治疗,效果显著。

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