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播散性隐球菌病表现为蜂窝织炎伴坏死性血管炎。

Disseminated cryptococcosis presenting as cellulitis with necrotizing vasculitis.

作者信息

Shrader S K, Watts J C, Dancik J A, Band J D

出版信息

J Clin Microbiol. 1986 Nov;24(5):860-2. doi: 10.1128/jcm.24.5.860-862.1986.

DOI:10.1128/jcm.24.5.860-862.1986
PMID:3533989
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC269046/
Abstract

Patients with disseminated cryptococcosis infrequently present with cutaneous involvement. Skin lesions, when present, are usually multiple and polymorphous in appearance. Cellulitis caused by Cryptococcus neoformans is rare, and necrotizing vasculitis associated with cryptococcal vascular invasion has not to our knowledge been reported. We report here a case of disseminated cryptococcosis in a renal transplant recipient who had cellulitis and necrotizing vasculitis and in whom a diagnostic skin biopsy allowed for early therapy with cure and salvage of the renal allograft.

摘要

播散性隐球菌病患者很少出现皮肤受累情况。若有皮肤病变，通常表现为多发且形态多样。新型隐球菌引起的蜂窝织炎较为罕见，据我们所知，与隐球菌血管侵袭相关的坏死性血管炎尚未见报道。我们在此报告一例肾移植受者的播散性隐球菌病，该患者出现了蜂窝织炎和坏死性血管炎，通过诊断性皮肤活检得以早期治疗并治愈疾病，挽救了同种异体肾移植。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d06/269046/41c4734e3335/jcm00101-0197-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d06/269046/a810e341bc19/jcm00101-0196-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d06/269046/8ee17ad45fe0/jcm00101-0197-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d06/269046/41c4734e3335/jcm00101-0197-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d06/269046/a810e341bc19/jcm00101-0196-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d06/269046/8ee17ad45fe0/jcm00101-0197-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d06/269046/41c4734e3335/jcm00101-0197-b.jpg

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本文引用的文献

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