一名61岁男性在肝移植术后三个月出现前臂红斑丘疹。
A 61-year-old man with erythematous forearm papules three months after liver transplantation.
作者信息
Ayrapetyan Mesrop, Googe Paul B, Jolly Puneet, Levinson Kara, Popowitch Elena, Lachiewicz Anne M
机构信息
School of Medicine, University of North Carolina, Chapel Hill, NC, USA.
Department of Pathology and Laboratory Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
出版信息
Transpl Infect Dis. 2018 Jun;20(3):e12869. doi: 10.1111/tid.12869. Epub 2018 Mar 25.
A 61-year-old Caucasian man presented with papules on his left forearm and hand three months after liver transplantation: images from physical exam, pathology, and microbiology are presented. Skin biopsy confirmed the presence of fungal elements within the hair shaft, which is consistent with Majocchi granuloma, also known as nodular granulomatous perifolliculitis. A combination of fungal culture, microscopic morphology, and gene sequencing was used to identify the causative organism. The patient recovered with appropriate systemic antifungal therapy.
一名61岁的白种男性在肝移植三个月后，其左前臂和手部出现丘疹：展示了体格检查、病理学和微生物学的图像。皮肤活检证实毛干内存在真菌成分，这与马约基肉芽肿相符，马约基肉芽肿也称为结节性毛囊周围炎。联合使用真菌培养、显微镜形态学和基因测序来鉴定病原体。患者经适当的全身抗真菌治疗后康复。
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