Ortega-Loayza Alex G, Nguyen Tuyet
Virginia Comonwealth University (VCU) – Richmond, VA 23298, USA.
An Bras Dermatol. 2013 Mar-Apr;88(2):287-9. doi: 10.1590/S0365-05962013000200022.
A 55-year-old male presented with back pain and slightly tender annular plaques with central ulceration on his face. A skin biopsy revealed scattered yeast with broad based buds. A CT scan of the abdomen revealed a pathologic T12 fracture. Tissue obtained from the spine confirmed budding yeasts. The patient was diagnosed with disseminated blastomycosis. The patient was treated with amphotericin and itraconazole and completely recovered.
一名55岁男性因背痛就诊,面部有轻度压痛的环形斑块,中央有溃疡。皮肤活检显示散在的带有宽基芽的酵母菌。腹部CT扫描显示T12病理性骨折。从脊柱获取的组织证实有芽生酵母菌。该患者被诊断为播散性芽生菌病。患者接受了两性霉素和伊曲康唑治疗,完全康复。