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术后腹壁毛霉病——病例系列

Post-operative Abdominal Wall Mucormycosis-a Case Series.

作者信息

Nain Prabhdeep Singh, Matta Harish, Singh Kuldip, Chhina Deepinder, Trehan Munish, Batta Nishant

机构信息

Department of Surgery, Dayanand Medical College & Hospital, Ludhiana, Punjab 141001 India.

出版信息

Indian J Surg. 2015 Dec;77(Suppl 2):253-6. doi: 10.1007/s12262-012-0786-z. Epub 2012 Dec 7.

DOI:10.1007/s12262-012-0786-z
PMID:26730004
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4692903/
Abstract

Mucormycosis is caused by saprophtytic fungi which cause acute invasive zygomycosis. It clinically presents with necrosis, and on histopathology, acute and chronic infiltrates are seen. It rarely infects a healthy host, but is devastating in an immunocompromised host. We studied five cases with post-operative abdominal wall mucormycosis, three females and two males. Three patients were post-operative while the other two had mucormycosis following trauma and infection was found in sutured wound. All were initially diagnosed as cases of necrotizing fasciitis. Two patients eventually survived after intensive medical therapy and extensive debridements.

摘要

毛霉病由腐生真菌引起,可导致急性侵袭性接合菌病。临床上表现为坏死,组织病理学可见急性和慢性浸润。它很少感染健康宿主,但在免疫功能低下的宿主中具有毁灭性。我们研究了5例术后腹壁毛霉病患者,其中3例女性,2例男性。3例患者为术后发病,另外2例在创伤后发生毛霉病,感染出现在缝合伤口处。所有患者最初均被诊断为坏死性筋膜炎。2例患者经过强化药物治疗和广泛清创后最终存活。

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Indian J Surg. 2015 Dec;77(Suppl 2):253-6. doi: 10.1007/s12262-012-0786-z. Epub 2012 Dec 7.
2
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[Abdominal wall infection due to Mucormycosis. Case report].
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Primary mucormycosis of abdominal wall: A rare fungal infection in a immunocompetent patient.腹壁原发性毛霉菌病:免疫功能正常患者中的一种罕见真菌感染。
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[Necrotising fasciitis caused by Saksenaea vasiformis in an immunocompetent patient after a car accident].[一起车祸后免疫功能正常患者由瓶梗霉引起的坏死性筋膜炎]
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引用本文的文献

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Intra-abdominal Mucormycosis in an Immunocompetent Host: A Rare Presentation and Literature Review.免疫功能正常宿主的腹腔毛霉菌病:一种罕见表现及文献综述
Cureus. 2025 Mar 17;17(3):e80730. doi: 10.7759/cureus.80730. eCollection 2025 Mar.
2
Post operative abdominal wall mucormycosis infection after laparotomy for bowel perforation.肠穿孔剖腹手术后的腹壁毛霉菌病感染
IDCases. 2024 May 24;36:e01998. doi: 10.1016/j.idcr.2024.e01998. eCollection 2024.

本文引用的文献

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Outbreak of intestinal infection due to Rhizopus microsporus.微小根霉引起的肠道感染暴发。
J Clin Microbiol. 2009 Sep;47(9):2834-43. doi: 10.1128/JCM.00908-09. Epub 2009 Jul 29.
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Invasive zygomycosis: update on pathogenesis, clinical manifestations, and management.侵袭性接合菌病:发病机制、临床表现及治疗的最新进展
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Abdominal wall mucormycosis after heart transplantation.心脏移植术后腹壁毛霉菌病
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Post operative abdominal wall mucormycosis mimicking as bacterial necrotising fasciitis.术后腹壁毛霉菌病误诊为细菌性坏死性筋膜炎。
J Postgrad Med. 2003 Apr-Jun;49(2):187-8.
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Primary cutaneous mucormycosis in an immunocompetent host: report of a case.免疫功能正常宿主的原发性皮肤毛霉病:一例报告
Surg Today. 2003;33(4):319-22. doi: 10.1007/s005950300073.
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Nosocomial zygomycotic post-surgical necrotizing fasciitis in a healthy adult caused by Apophysomyces elegans in south India.印度南部一名健康成年人因雅致附霉引起的医院内术后接合菌坏死性筋膜炎
J Med Vet Mycol. 1997 Jan-Feb;35(1):61-3. doi: 10.1080/02681219780000891.
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Zygomycotic necrotizing fasciitis caused by Apophysomyces elegans.由雅致附霉引起的接合菌性坏死性筋膜炎。
J Clin Microbiol. 1993 May;31(5):1368-9. doi: 10.1128/jcm.31.5.1368-1369.1993.