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一名白血病患者的播散性透明丝孢霉病。

Disseminated hyalohyphomycosis in a leukemic patient.

作者信息

Matsuda T, Matsumoto T

出版信息

Arch Dermatol. 1986 Oct;122(10):1171-5.

PMID:3464232
Abstract

A 69-year-old man with acute myeloblastic leukemia was admitted to the hospital for induction chemotherapy. A complication caused by a disseminated mycotic infection occurred while the neutropenic patient was maintained on a course of cytotoxic drugs, antibiotics, and corticosteroid therapy. The causal isolate was identified as Fusarium solani on the basis of its colonial and microscopic morphology. This fungus developed in the patient's tissue in the form of hyaline, branched, septate hyphae. This case fits the definition of the disease entity known as hyalohyphomycosis. The term hyalohyphomycosis encompasses infections caused by various nondematiaceous opportunistic fungi with a filamentous tissue form. The purpose of this article is to review and discuss the literature on hyalohyphomycosis caused by Fusarium species. Combined histopathologic and mycologic findings were evaluated to determine the nature of opportunistic mycotic infections.

摘要

一名69岁的急性髓细胞白血病男性患者因诱导化疗入院。在这名中性粒细胞减少的患者接受细胞毒性药物、抗生素和皮质类固醇治疗期间,发生了由播散性霉菌感染引起的并发症。根据其菌落和微观形态,致病分离株被鉴定为茄病镰刀菌。这种真菌在患者组织中以透明、分支、有隔膜的菌丝形式生长。该病例符合被称为透明丝孢霉病的疾病实体的定义。透明丝孢霉病这一术语涵盖了由各种非暗色机会性真菌引起的丝状组织形式的感染。本文的目的是回顾和讨论关于镰刀菌属引起的透明丝孢霉病的文献。综合组织病理学和真菌学检查结果以确定机会性霉菌感染的性质。

相似文献

1
Disseminated hyalohyphomycosis in a leukemic patient.一名白血病患者的播散性透明丝孢霉病。
Arch Dermatol. 1986 Oct;122(10):1171-5.
2
Disseminated cutaneous Fusarium infection with vascular invasion in a leukemic patient.一名白血病患者发生播散性皮肤镰刀菌感染并伴有血管侵袭。
J Med Vet Mycol. 1987 Jun;25(3):177-86.
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Rinsho Ketsueki. 2006 Aug;47(8):753-7.
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Fusarium solani cutaneous infection in a neutropenic patient.一名中性粒细胞减少患者的茄病镰刀菌皮肤感染
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Disseminated Trichosporonosis with Trichosporon asahii.播散性阿萨希毛孢子菌病
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First reported case of subcutaneous hyalohyphomycosis caused by Paecilomyces variotii.首例由多形拟青霉引起的皮下组织透明丝孢霉病报告。
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Disseminated Scopulariopsis-culture is required to distinguish from other disseminated mould infections.需要进行播散性帚霉培养以与其他播散性霉菌感染相鉴别。
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Skin nodules in a patient with acute myeloid leukemia and neurological deterioration--quiz case. Disseminated fusariosis.一名急性髓系白血病伴神经功能恶化患者的皮肤结节——病例问答。播散性镰刀菌病。
Arch Dermatol. 2010 Sep;146(9):1037-42. doi: 10.1001/archdermatol.2010.216-a.

引用本文的文献

1
Successful treatment of disseminated fusariosis in a patient with acute lymphoblastic leukemia: A case report and literature review.急性淋巴细胞白血病患者播散性镰刀菌病的成功治疗:一例报告及文献综述
Medicine (Baltimore). 2019 Jun;98(26):e16246. doi: 10.1097/MD.0000000000016246.
2
Recurrence of Fusarium solani abscess formation in an otherwise healthy patient.
Infection. 1995 Sep-Oct;23(5):303-5. doi: 10.1007/BF01716292.
3
Opportunistic fusarial infections in humans.人类的机会性镰刀菌感染。
Eur J Clin Microbiol Infect Dis. 1995 Sep;14(9):741-54. doi: 10.1007/BF01690988.
4
Fusarium infections in immunocompromised patients: case reports and literature review.免疫功能低下患者的镰刀菌感染:病例报告与文献综述
Eur J Clin Microbiol Infect Dis. 1994 Feb;13(2):152-61. doi: 10.1007/BF01982190.
5
Taxonomy, biology, and clinical aspects of Fusarium species.镰刀菌属物种的分类学、生物学及临床方面
Clin Microbiol Rev. 1994 Oct;7(4):479-504. doi: 10.1128/CMR.7.4.479.
6
Disseminated cutaneous and peritoneal hyalohyphomycosis caused by Fusarium species: three cases and review of the literature.
Mycopathologia. 1988 Feb;101(2):105-11. doi: 10.1007/BF00452895.
7
Fungal infections of the immunocompromised host: clinical and laboratory aspects.免疫功能低下宿主的真菌感染:临床与实验室方面
Clin Microbiol Rev. 1988 Oct;1(4):349-64. doi: 10.1128/CMR.1.4.349.