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[一位养牛农民的职业性疣状毛癣菌感染]

[Occupational Trichophyton verrucosum infection in a cattle farmer].

作者信息

Schumny Uta, Wiegand Cornelia, Hipler Uta-Christina, Darr-Foit Susanne, Peckruhn Melanie, Uhrlaß Silke, Nenoff Pietro, Elsner Peter

机构信息

Klinik für Hautkrankheiten, Universitätsklinikum Jena, Erfurter Str. 35, 07743, Jena, Deutschland.

Labor für medizinische Mikrobiologie, Mölbiser Hauptstr. 8, 04571, Rötha, OT Mölbis, Deutschland.

出版信息

Hautarzt. 2020 Nov;71(11):899-902. doi: 10.1007/s00105-020-04655-7.

Abstract

Ringworm in cattle may cause an occupational skin disease in humans. Trichophyton verrucosum lead to a highly inflammatory fungal skin infection that is often misdiagnosed as bacterial disease and consequently mistreated with antibiotics. To establish the correct diagnosis, it is necessary to collect skin scales; in addition, a skin biopsy can be helpful. Deep dermatophyte infections by Trichophyton verrucosum can be treated effectively with oral terbinafine. In addition, it is necessary to pay careful attention to use suitable hygiene measures in the stables to protect against reinfection.

摘要

牛的癣可能会导致人类患上职业性皮肤病。疣状毛癣菌会引发一种高度炎症性的真菌性皮肤感染,这种感染常常被误诊为细菌性疾病,因此用抗生素进行错误治疗。为了做出正确诊断,有必要采集皮肤鳞屑;此外,皮肤活检可能会有所帮助。口服特比萘芬可以有效治疗由疣状毛癣菌引起的深部皮肤癣菌感染。此外,必须在牛舍中注意采取适当的卫生措施以防止再次感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d9/7653785/3a05b4ed63bd/105_2020_4655_Fig1_HTML.jpg

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