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光滑念珠菌骨髓炎。病例报告。

Torulopsis glabrata osteomyelitis. A case report.

作者信息

Imahori S C, Papademetriou T, Ogliela D M

出版信息

Clin Orthop Relat Res. 1987 Jun(219):214-20.

PMID:3581574
Abstract

Skeletal infection involving Torulopsis glabrata is extremely rare. A 66-year-old woman developed Torulopsis glabrata osteomyelitis during a course of prolonged antibiotic therapy for staphylococcal pneumonia that occurred as a postoperative complication of a total knee arthroplasty for osteoarthritis. Roentgenograms and a biopsy sample revealed a destructive inflammatory lesion of the vertebrae. The presence of the yeast organism in the lesion was demonstrated definitively by culture and tissue pathology, removing any doubt about the pathogenicity of the organism. The disease was successfully treated with 5-fluorocytosine, and the patient recovered without functional impairments.

摘要

由光滑球拟酵母菌引起的骨骼感染极为罕见。一名66岁女性在因骨关节炎行全膝关节置换术后发生葡萄球菌肺炎,并接受长期抗生素治疗过程中,患上了光滑球拟酵母菌骨髓炎。X线片和活检样本显示椎体有破坏性炎性病变。通过培养和组织病理学明确证实病变中存在酵母菌,从而消除了对该生物体致病性的任何疑问。该疾病用5-氟胞嘧啶成功治愈,患者康复且无功能障碍。

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