Department of Orthopaedic Surgery, Philadelphia Hand to Shoulder Center, Thomas Jefferson University, 834 Chestnut Street, Suite G-114, Philadelphia, PA 19107, USA.
Department of Orthopaedic Surgery, Philadelphia Hand to Shoulder Center, Thomas Jefferson University, 834 Chestnut Street, Suite G-114, Philadelphia, PA 19107, USA.
Hand Clin. 2020 Aug;36(3):355-360. doi: 10.1016/j.hcl.2020.03.009.
Clinically significant fungal infections of the upper extremity are uncommon but increasing They are classified based on anatomic location and epidemiology. The anatomic categories that affect the hand include cutaneous, subcutaneous, and deep. Cutaneous infections are caused by organisms that metabolize keratin and can cause serious morbidity but are rarely fatal. Subcutaneous infections are similar to the cutaneous infections and are produced by low virulence organisms. Cutaneous and subcutaneous infections are most common and can be treated by primary care physicians and dermatologists. Deep infections are less common but can be fatal. Epidemiologic classifications include endemic and opportunistic infections.
临床上，上肢的真菌性感染并不常见，但却呈上升趋势。它们根据解剖位置和流行病学进行分类。影响手部的解剖类别包括皮肤、皮下和深部。皮肤感染是由代谢角蛋白的生物体引起的，可导致严重的发病率，但很少致命。皮下感染与皮肤感染相似，由低毒力生物体引起。皮肤和皮下感染最常见，可由初级保健医生和皮肤科医生治疗。深部感染较少见，但可能致命。流行病学分类包括地方性和机会性感染。
