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皮肤芽生菌病:系统性疾病的一个线索。

Cutaneous blastomycosis: a clue to a systemic disease.

作者信息

Ortega-Loayza Alex G, Nguyen Tuyet

机构信息

Virginia Comonwealth University (VCU) – Richmond, VA 23298, USA.

出版信息

An Bras Dermatol. 2013 Mar-Apr;88(2):287-9. doi: 10.1590/S0365-05962013000200022.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d76/3750900/2d1d2b8ddd15/abd-88-0287-g01.jpg

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