D'sa Shilpa Reynal, Singh Suvir, Satyendra Sowmya, Mathews Prasad
Department of Medicine, Christian Medical College and Hospital, Ida Scudder Road, Vellore, Tamil Nadu, India.
J Glob Infect Dis. 2013 Jul;5(3):118-20. doi: 10.4103/0974-777X.116875.
Aspergillus is a saprophytic fungus which is universally found in the environment. Most people breathe in the spores of Aspergillus every day without development of disease. It commonly affects immunocompromised hosts. There are only few reported cases in an immunocompetent host. It most commonly affects the respiratory system, causing superficial or invasive disease. It also affects the skin, brain and eye in severely immunocompromised patients. Aspergillosis of the bone is extremely rare. Amongst all the reported cases of invasive aspergillosis the incidence of osteomyelitis is less than three percent. In these cases commonly of the spine is reported. We present a case of Aspergillus osteomyelitis of the ribs in an immunocompetent host.
曲霉菌是一种腐生真菌，在环境中普遍存在。大多数人每天都会吸入曲霉菌孢子，但不会发病。它通常影响免疫功能低下的宿主。免疫功能正常的宿主中仅有少数病例报道。它最常累及呼吸系统，引起浅表或侵袭性疾病。在严重免疫功能低下的患者中，它还会影响皮肤、大脑和眼睛。骨曲霉菌病极为罕见。在所有报道的侵袭性曲霉菌病病例中，骨髓炎的发病率低于3%。在这些病例中，常见的受累部位是脊柱。我们报告一例免疫功能正常的宿主发生肋骨曲霉菌性骨髓炎的病例。
