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鼻脑型毛霉菌病:一项回顾性研究。

Rhinocerebral mucormycosis: a retrospective study.

作者信息

Kolekar Jyoti Shailesh

机构信息

Department of Otolaryngology and Head and Neck Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra India ; Malurthaven 22, st, Herlev, 2730 Copenhagen, Denmark.

出版信息

Indian J Otolaryngol Head Neck Surg. 2015 Mar;67(1):93-6. doi: 10.1007/s12070-014-0804-5. Epub 2014 Dec 5.

Abstract

Mucormycosis is an acute often fatal infection caused by fungi of family mucoracea (Kauffman and Malani Curr Infect Dis Rep 9(6):435-440). The principal pathogens in this family are rhizopus, mucor and absidia species. Mucoracea are found in soil, decaying vegetation and other organic matter. Mucormycosis is a polymorphic disease with diverse clinical manifestation. It is divided into rhinocerebral, pulmonary, cutaneous, cardiac, gastrointestinal and disseminated. Rhinocerebral mucormycosis the most commonest manifestation of mucormycosis is usually a fatal fulminant infection. Rhinocerebral mucormycosis can be further divided into rhino-maxillary and rhino-orbito-cerebral. The disease commonly occur in diabetics who have ketoacidosis but is also seen in severely debilitated or immunosuppressed patients. It has also been reported from otherwise normal individuals. Early diagnosis and treatment is mandatory for a successful management of this infection.

摘要

毛霉病是一种由毛霉科真菌引起的急性感染,通常是致命的(考夫曼和马拉尼,《当前传染病报告》9(6):435 - 440)。该科的主要病原体是根霉、毛霉和犁头霉属物种。毛霉科真菌存在于土壤、腐烂植被和其他有机物中。毛霉病是一种具有多种临床表现的多形性疾病。它分为鼻脑型、肺型、皮肤型、心脏型、胃肠型和播散型。鼻脑型毛霉病是毛霉病最常见的表现形式,通常是一种致命的暴发性感染。鼻脑型毛霉病可进一步分为鼻上颌型和鼻眶脑型。这种疾病常见于患有酮症酸中毒的糖尿病患者,但也见于严重虚弱或免疫抑制的患者。在其他方面正常的个体中也有报道。早期诊断和治疗对于成功控制这种感染至关重要。

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