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三思而后行:来自印度次大陆的接合菌病病例系列

Look before you leap: A case series of conidiobolomycosis from the Indian subcontinent.

作者信息

Gupta Nitin, Kumar Rajeev, Ramteke Prashant, Soneja Manish

机构信息

Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.

Department of Otorhinolaryngology, All India Institute of Medical Sciences, New Delhi, India.

出版信息

J Family Med Prim Care. 2018 Sep-Oct;7(5):1113-1115. doi: 10.4103/jfmpc.jfmpc_167_18.

Abstract

Conidiobolomycosis is an extremely rare subcutaneous rhinofacial indolent infection caused by and . It is reported mainly from the tropical and subtropical parts of the world, mostly in form of isolated case reports or small case series. Two immunocompetent male patients presented to our center with indolent nasal swelling and features of nasal obstruction. They were treated outside with antibiotics and/or steroids and were referred to us with nonresolving symptoms. Both of them were diagnosed based on the characteristic histopathological findings and were successfully treated with saturated solution of potassium iodide. Conidiobolomycosis is an important differential in patients presenting with centrofacial swelling. Early suspicion and timely referral by the primary care physicians will help in early diagnosis and treatment of this disease.

摘要

耳霉病是一种由耳霉引起的极其罕见的皮下鼻面部慢性感染。主要报道来自世界热带和亚热带地区,大多以孤立病例报告或小病例系列的形式呈现。两名免疫功能正常的男性患者因慢性鼻肿胀和鼻塞症状前来我院就诊。他们在外院接受了抗生素和/或类固醇治疗,但症状未缓解,随后转诊至我院。两人均根据特征性组织病理学检查结果确诊,并通过碘化钾饱和溶液成功治愈。耳霉病是面部中央肿胀患者的重要鉴别诊断疾病。基层医疗医生早期怀疑并及时转诊将有助于该病的早期诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9060/6259523/0aa746279b72/JFMPC-7-1113-g001.jpg

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