Venugopal Taralakshmi V, Venugopal Pankajalakshmi V
Department of Pathology, Shri Sathya Sai Medical College and Research Institute, Tiruporur, Kanchipuram 603 110, India.
Bhagavan Sri Dhanvanthiri Foundation, Medical Services and Research Center, Chennai 600 041, India.
Med Mycol Case Rep. 2012 Sep 29;1(1):103-6. doi: 10.1016/j.mmcr.2012.09.004. eCollection 2012.
Aspergillus are ubiquitous and more than 30 species have been reported to be involved in human infection. Most of the cases occur in immunocompromised patients and are disseminated in the blood. Primary cutaneous aspergillosis in immunocompetent hosts is rare. We report a unique case of primary cutaneous aspergillosis in an immunocompetent patient diagnosed by fine needle aspiration cytology. The characteristic ascocarp and ascospores of Aspergillus species were found in the aspirate and Aspergillus glaucus was isolated in pure culture. The case is presented to increase the awareness of the usefulness of fine needle aspiration cytology for diagnosing fungal infections.
曲霉广泛存在,已报道有30多种曲霉可引起人类感染。大多数病例发生在免疫功能低下的患者中,并通过血液传播。免疫功能正常宿主中的原发性皮肤曲霉病很罕见。我们报告了一例通过细针穿刺细胞学诊断的免疫功能正常患者的原发性皮肤曲霉病独特病例。在吸出物中发现了曲霉属的特征性子囊果和子囊孢子,并通过纯培养分离出了灰绿曲霉。展示该病例是为了提高对细针穿刺细胞学在诊断真菌感染方面有用性的认识。