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真菌测序鉴定血液系统恶性肿瘤患儿侵袭性弯孢菌感染

Invasive Curvularia Infection in Pediatric Patients With Hematologic Malignancy Identified by Fungal Sequencing.

机构信息

Department of Pediatrics, Children's Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine.

Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina.

出版信息

J Pediatric Infect Dis Soc. 2019 Mar 28;8(1):87-91. doi: 10.1093/jpids/piy092.

Abstract

Curvularia is a saprophytic dematiaceous mold and a rare human pathogen. Here, we report three severely immunocompromised pediatric patients who developed invasive Curvularia infection. Diagnosis was achieved or confirmed in all cases by fungal ribosome sequencing, which hastened species identification and targeted treatment for the patients reported. There are no treatment guidelines for invasive Curvularia infection, though we report three patients who were cured of their infection through a combination of surgical resection and various anti-fungal therapies, indicating a relatively low virulence and good prognosis in comparison to other angioinvasive molds.

摘要

弯孢霉是一种腐生的暗色真菌,也是一种罕见的人类病原体。在这里,我们报告了三例严重免疫功能低下的儿科患者,他们发生了侵袭性弯孢霉感染。所有病例均通过真菌核糖体测序来确诊或确认,这加快了对报告病例的种属鉴定和靶向治疗。侵袭性弯孢霉感染目前尚无治疗指南,尽管我们报告了三例患者通过手术切除和各种抗真菌治疗治愈了感染,与其他血管侵袭性霉菌相比,其毒力相对较低,预后较好。

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