澳大利亚农村地区一名免疫功能正常患者的感染情况。
infection in an immunocompetent patient in rural Australia.
作者信息
Pilch Wiktor Teodor, Kinnear Ned, Hennessey Derek Barry
机构信息
Port Augusta Hospital and Regional Health Service, Port Augusta, South Australia, Australia.
Department of Urology, Austin Hospital, Heidelberg, Victoria, Australia.
出版信息
BMJ Case Rep. 2017 Jun 18;2017:bcr-2017-220341. doi: 10.1136/bcr-2017-220341.
Abstract
An 81-year-old man from rural Australia presented with right pretibial cellulitis 7 days after minor trauma against furniture. He failed to improve despite antibiotics and surgical debridement. Subsequent cultures grew the rare fungus which was treated with further surgical debridement, amphotericin B and posaconazole. This was successful and the patient made a full recovery. We present the case and discuss lessons learnt.
摘要
一名来自澳大利亚农村的81岁男性，在轻微碰撞家具7天后出现右胫骨前蜂窝织炎。尽管使用了抗生素并进行了手术清创，病情仍未改善。随后的培养发现了这种罕见真菌，遂进一步进行手术清创，并使用两性霉素B和泊沙康唑进行治疗。治疗成功，患者完全康复。我们展示该病例并讨论从中吸取的经验教训。
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