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一名意外患者阴茎感染的病例报告。

Case report of penile infection in an unexpected patient.

作者信息

Bezzant Matthew, Lago Kathryn, Calvano Tatjana

机构信息

Internal Medicine Service, Brooke Army Medical Center, 3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234, USA.

Infectious Disease Service, Brooke Army Medical Center, 3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234, USA.

出版信息

Med Mycol Case Rep. 2019 Sep 25;26:16-18. doi: 10.1016/j.mmcr.2019.09.008. eCollection 2019 Dec.

DOI:10.1016/j.mmcr.2019.09.008
PMID:31667053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6812002/
Abstract

There are few reports of penile mucormycosis and even fewer in the absence of overt immune suppression. An eighty year old male with diabetes presents with penile mass. The pathology and culture demonstrated . He was treated with surgery and liposomal amphotericin B. His therapy was stopped after pathology demonstrated clear surgical margins. His good outcome provides evidence that stopping antifungal therapy after achieving clear surgical margins is acceptable in patients without ongoing immunosuppression.

摘要

关于阴茎毛霉菌病的报道很少,在没有明显免疫抑制的情况下更是罕见。一名80岁患有糖尿病的男性出现阴茎肿物。病理检查和培养结果显示…… 他接受了手术和脂质体两性霉素B治疗。在病理显示手术切缘清晰后,停止了他的治疗。他的良好预后证明,对于没有持续免疫抑制的患者,在手术切缘清晰后停止抗真菌治疗是可以接受的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aaf/6812002/3dcffcb066e5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aaf/6812002/8216218a4a76/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aaf/6812002/e6b8dd64e3b8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aaf/6812002/3dcffcb066e5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aaf/6812002/8216218a4a76/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aaf/6812002/e6b8dd64e3b8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3aaf/6812002/3dcffcb066e5/gr3.jpg

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本文引用的文献

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Lancet Infect Dis. 2016 Jul;16(7):828-837. doi: 10.1016/S1473-3099(16)00071-2. Epub 2016 Mar 9.
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Mucormycoses.毛霉病
Infect Dis Clin North Am. 2016 Mar;30(1):143-63. doi: 10.1016/j.idc.2015.10.011.
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Fungal Fourniers Gangrene in an Immunocompromised Patient.免疫功能低下患者的真菌性福尼尔坏疽
Urol Case Rep. 2015 Dec 9;4:1-3. doi: 10.1016/j.eucr.2015.09.009. eCollection 2016 Jan.
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First case report of isolated penile mucormycosis in a liver transplantation recipient.肝移植受者孤立性阴茎毛霉菌病的首例病例报告。
Int J Infect Dis. 2014 Dec;29:208-10. doi: 10.1016/j.ijid.2014.09.017. Epub 2014 Nov 5.
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Necrotizing cutaneous mucormycosis after a tornado in Joplin, Missouri, in 2011.2011 年美国密苏里州乔普林龙卷风后的坏死性皮肤毛霉菌病。
N Engl J Med. 2012 Dec 6;367(23):2214-25. doi: 10.1056/NEJMoa1204781.
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Diagnosis and treatment of mucormycosis in patients with hematological malignancies: guidelines from the 3rd European Conference on Infections in Leukemia (ECIL 3).血液病患者毛霉菌病的诊断和治疗:第 3 届欧洲白血病感染会议(ECIL 3)指南。
Haematologica. 2013 Apr;98(4):492-504. doi: 10.3324/haematol.2012.065110. Epub 2012 Sep 14.
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Rapidly progressive cutaneous Rhizopus microsporus infection presenting as Fournier's gangrene in a patient with acute myelogenous leukemia.一名急性髓性白血病患者出现快速进展的皮肤微小根霉感染,表现为福尼尔坏疽。
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