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犬小孢子菌所致移植肾患者真菌足菌肿 1 例并文献复习

Mycetoma caused by Microsporum canis in a patient with renal transplant: A case report and review of the literature.

机构信息

Infectious Diseases Unit, The Queen Elizabeth Hospital, Woodville South, South Australia.

Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia.

出版信息

Transpl Infect Dis. 2021 Jun;23(3):e13516. doi: 10.1111/tid.13516. Epub 2020 Dec 2.

Abstract

Microsporum canis is a dermatophyte known to cause superficial skin infections. In immunocompromised patients, it can lead to invasive dermatophytosis. We present a case of biopsy-proven left knee mycetoma caused by M canis in a renal transplant patient. Identification of M canis was achieved via sequencing of the internal transcribed spacer regions. Treatment involved surgical debridement, oral posaconazole, and reduction in immunosuppression. In addition, we provide a review of current literature on invasive M canis infections.

摘要

犬小孢子菌是一种已知可引起浅表皮肤感染的皮肤真菌。在免疫功能低下的患者中,它可导致侵袭性皮肤真菌病。我们报告了一例肾移植患者左膝部由犬小孢子菌引起的经活检证实的真菌肿病例。通过对内部转录间隔区进行测序鉴定出犬小孢子菌。治疗包括手术清创、口服泊沙康唑和减少免疫抑制。此外,我们还对目前关于侵袭性犬小孢子菌感染的文献进行了综述。

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