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免疫功能低下患者皮肤孢子丝菌病样播散

Sporotrichoid-Like Spread of Cutaneous in an Immunocompromised Patient.

作者信息

Kemp Daria Marley, Govind Anusha G, Kang Jun, Brugger Caroline C, Kauh Young C

机构信息

Department of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, PA, USA.

Department of Infectious Disease, Thomas Jefferson University, Philadelphia, PA, USA.

出版信息

Case Rep Dermatol Med. 2017;2017:8219841. doi: 10.1155/2017/8219841. Epub 2017 Aug 23.

DOI:10.1155/2017/8219841
PMID:28912980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5587931/
Abstract

is a rapidly growing mycobacterium found in water and soil that can cause local cutaneous infections in immunocompetent hosts but more frequently affects immunocompromised patients. Typically, patients will present with painful subcutaneous nodules of the joints or soft tissues from traumatic inoculation. However, exhibiting a sporotrichoid-like pattern of these nodules is uncommon. Herein, we report a case of sporotrichoid-like distribution of cutaneous in a patient with systemic lupus erythematosus on significant immunosuppressive medications. Clinicians treating immunocompromised patients should be cognizant of their propensity to develop unusual infections and atypical presentations.

摘要

是一种在水和土壤中发现的快速生长的分枝杆菌,可在免疫功能正常的宿主中引起局部皮肤感染,但更常见于免疫功能低下的患者。通常,患者会因创伤接种而出现关节或软组织疼痛性皮下结节。然而,这些结节呈现孢子丝菌样模式并不常见。在此,我们报告一例系统性红斑狼疮患者在接受显著免疫抑制治疗时出现皮肤孢子丝菌样分布的病例。治疗免疫功能低下患者的临床医生应认识到他们发生不寻常感染和非典型表现的倾向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a38/5587931/c780b127ad1d/CRIDM2017-8219841.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a38/5587931/4604d190356e/CRIDM2017-8219841.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a38/5587931/c780b127ad1d/CRIDM2017-8219841.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a38/5587931/4604d190356e/CRIDM2017-8219841.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a38/5587931/c780b127ad1d/CRIDM2017-8219841.002.jpg

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Sporotrichoid cutaneous infection due to Mycobacterium chelonei in a renal transplant patient.肾移植患者中由龟分枝杆菌引起的孢子丝菌病样皮肤感染。
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