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孤立性脑毛霉病与静脉吸毒有关。

Isolated cerebral mucormycosis associated with intravenous drug use.

机构信息

Infectious Diseases Department, Hospital Universitari Vall d'Hebron, Passeig Vall d'Hebron 119-129, 08035 Barcelona, Spain.

Infectious Diseases Department, Hospital Universitari Vall d'Hebron, Passeig Vall d'Hebron 119-129, 08035 Barcelona, Spain.

出版信息

J Mycol Med. 2020 Dec;30(4):101046. doi: 10.1016/j.mycmed.2020.101046. Epub 2020 Oct 6.

Abstract

We present an uncommon case of isolated basal ganglia mucormycosis in a patient without any known cause of immunosuppression, but with a history of drug injection. The patient presented a good clinical and radiological response to antifungal treatment without aggressive surgical debridement (liposomal amphotericin B combined with isavuconazole for 4 weeks followed by isavuconazole as maintenance therapy for 10 months).

摘要

我们报告了一例罕见的孤立性基底节黏液样毛霉菌病病例,患者无任何已知免疫抑制原因,但有药物注射史。该患者在接受抗真菌治疗后临床和影像学反应良好,无需激进的手术清创(4 周的脂质体两性霉素 B 联合伊曲康唑治疗,随后用伊曲康唑维持治疗 10 个月)。

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