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马杜拉分支菌引起的足菌肿30年病程：治疗挑战

Eumycetoma by Madurella mycetomatis with 30 years of evolution: therapeutic challenge.

作者信息

Sampaio Felipe Maurício Soeiro, Galhardo Maria Clara Gutierrez, Quintella Leonardo Pereira, Souza Paulo Roberto Cotrim de, Coelho Janice Mary Chicarino de Oliveira, Valle Antonio Carlos Francesconi do

机构信息

Army Central Hospital, Tropical Dermatology Service, Rio de JaneiroRJ, Brazil.

Oswaldo Cruz Foundation, Evandro Chagas Research Institute, Laboratory of Dermatology in Infectious Diseases, Rio de JaneiroRJ, Brazil.

出版信息

An Bras Dermatol. 2013 Nov-Dec;88(6 Suppl 1):82-4. doi: 10.1590/abd1806-4841.20132136.

DOI:10.1590/abd1806-4841.20132136
PMID:24346887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3875995/
Abstract

We report a case of eumycetoma by Madurella mycetomatis on the buttocks and thighs in an adult immunocompetent patient, diagnosed after 30 years of clinical development. He was treated over four years with fluconazol and itraconazol associated with five times surgical excisions of subcutaneous nodules. At the eighth year of follow-up, one nodule recurred on the right infragluteal region, which was excised surgically and has remained asymptomatic ever since.

摘要

我们报告一例成年免疫功能正常患者臀部和大腿发生的马杜拉分支菌所致的足菌肿病例，该病例在临床发病30年后才得以诊断。患者接受了四年的氟康唑和伊曲康唑治疗，并五次手术切除皮下结节。随访至第八年时，右臀下区域出现一个复发结节，经手术切除，此后一直无症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6462/3875995/516e80be3a66/abd-88-06-s1-0082-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6462/3875995/baaaa69d03ed/abd-88-06-s1-0082-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6462/3875995/ec76260d9723/abd-88-06-s1-0082-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6462/3875995/a80ec8ef8931/abd-88-06-s1-0082-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6462/3875995/516e80be3a66/abd-88-06-s1-0082-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6462/3875995/baaaa69d03ed/abd-88-06-s1-0082-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6462/3875995/ec76260d9723/abd-88-06-s1-0082-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6462/3875995/a80ec8ef8931/abd-88-06-s1-0082-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6462/3875995/516e80be3a66/abd-88-06-s1-0082-g04.jpg

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J Med Case Rep. 2019 Feb 12;13(1):32. doi: 10.1186/s13256-018-1962-y.
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Review of 21 cases of mycetoma from 1991 to 2014 in Rio de Janeiro, Brazil.对1991年至2014年巴西里约热内卢21例足菌肿病例的回顾。
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Madura foot - mind the soil.马杜拉足——当心土壤。
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