Department of Medicine, Phramongkutklao Hospital, Bangkok, 10400, Thailand.
Mycopathologia. 2019 Apr;184(2):321-325. doi: 10.1007/s11046-019-00323-0. Epub 2019 Feb 11.
Disseminated phaeohyphomycosis is an extremely rare clinical syndrome, especially in a host without apparent immunological defect. Here, we report a case of disseminated phaeohyphomycosis in a 22-year-old previously healthy man who showed nonmassive hemoptysis from diffuse lung nodules and cavities, together with a hard palate ulcer and generalized subcutaneous nodules. Histopathology, cultures and subsequent molecular assay from two different sites confirmed Curvularia tuberculata infection. The patient was successfully treated with amphotericin B and itraconazole.
播散性暗色丝孢霉病是一种极为罕见的临床综合征,尤其是在宿主无明显免疫缺陷的情况下。在此,我们报告一例 22 岁既往健康男性发生播散性暗色丝孢霉病,其表现为弥漫性肺结节和空洞引起的非大量咯血,同时伴有硬腭溃疡和全身皮下结节。两处不同部位的组织病理学、培养和随后的分子检测均证实为弯孢霉感染。该患者经两性霉素 B 和伊曲康唑治疗后痊愈。