Testa J, Vuillecard E, Ravisse P, Dupont B, Gonzalez J P, Georges A J
Faculté des Sciences de la Santé, Bangui.
Bull Soc Pathol Exot Filiales. 1987;80(5):781-91.
After a historical account and review of the published literature on rhinoentomophthoromycosis, we report two recently recognized cases in Central African Republic. The first case was a 32 year-old "peuhl" woman with typical facial deformation that gave her a "hippopotamus-woman" aspect. The second case was a 53 year-old man with lesions that were less typical and limited to one half of the face only. In both cases, hypodermic nodules were palpable and it is likely that inoculation occurred by scratching of a skin lesion. The woman originates from a savanna region whereas the second patient is from a forest area. In both cases, culture were positive for Conidiobolus coronatus. Treatment with itraconazole was instituted for both patients.
在对鼻虫霉病的历史记载及已发表文献进行回顾之后,我们报告了中非共和国最近确诊的两例病例。首例病例为一名32岁的“颇尔族”女性,面部有典型变形,呈现出“河马女”的面容。第二例病例是一名53岁男性,其病损不太典型,仅局限于半侧面部。两例病例均可触及皮下结节,很可能是通过搔抓皮肤病变而发生接种感染。该女性来自热带稀树草原地区,而第二名患者来自森林地区。两例病例的分生孢子菌培养均呈阳性。两名患者均开始接受伊曲康唑治疗。