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一例以腹部肿块为表现的小儿担子菌病病例。

A Pediatric Case of Basidiobolomycosis Presenting With an Abdominal Mass.

作者信息

Shaaban Hossam E, Almatrafi Mohammed A, Telmesani Abdulwahab

机构信息

Gastroenterology, National Hepatology and Tropical Medicine Research Institute, Cairo, EGY.

Department of Pediatrics, Umm Al-Qura University, Makkah, SAU.

出版信息

Cureus. 2022 Jun 16;14(6):e25986. doi: 10.7759/cureus.25986. eCollection 2022 Jun.

DOI:10.7759/cureus.25986
PMID:35855237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9286300/
Abstract

Basidiobolomycosis is a rare fungal infection caused by The condition has been reported in children and adults presenting with abdominal pain, weight loss, abdominal distension, vomiting, diarrhea, fever, and an abdominal mass. We report a case of a previously healthy 2.5 years old male who presented to the ER complaining of abdominal pain and distension for two weeks together with significant weight loss. He looked ill and cachectic. He had tachycardia but was afebrile. His abdominal examination showed a right-sided abdominal mass. His initial abdominal ultrasound (US) suggested an abdominal tumor. The patient was referred to a tertiary center where he had an ultrasound-guided biopsy that showed fungal hyphae consistent with basidiobolomycosis.

摘要

担子菌病是一种由[具体病菌名称未给出]引起的罕见真菌感染。已有儿童和成人出现腹痛、体重减轻、腹胀、呕吐、腹泻、发热及腹部肿块等症状的相关病例报道。我们报告一例此前健康的2.5岁男性病例,该患儿因腹痛和腹胀两周并伴有明显体重减轻就诊于急诊室。他看起来病恹恹且消瘦。心率过速但无发热。腹部检查发现右侧腹部有肿块。其最初的腹部超声检查提示腹部肿瘤。该患者被转诊至三级医疗中心,在那里进行了超声引导下活检,结果显示真菌菌丝符合担子菌病表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb60/9286300/b75ceb1a61e9/cureus-0014-00000025986-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb60/9286300/d0a8055d7dc9/cureus-0014-00000025986-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb60/9286300/90029e599c64/cureus-0014-00000025986-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb60/9286300/1788ffade457/cureus-0014-00000025986-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb60/9286300/71908adc676d/cureus-0014-00000025986-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb60/9286300/f77162cd7190/cureus-0014-00000025986-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb60/9286300/2c614cfdd1d9/cureus-0014-00000025986-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb60/9286300/b75ceb1a61e9/cureus-0014-00000025986-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb60/9286300/d0a8055d7dc9/cureus-0014-00000025986-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb60/9286300/90029e599c64/cureus-0014-00000025986-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb60/9286300/1788ffade457/cureus-0014-00000025986-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb60/9286300/71908adc676d/cureus-0014-00000025986-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb60/9286300/f77162cd7190/cureus-0014-00000025986-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb60/9286300/2c614cfdd1d9/cureus-0014-00000025986-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb60/9286300/b75ceb1a61e9/cureus-0014-00000025986-i07.jpg

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Colonic basidiobolomycosis presenting with intestinal obstruction and a normal eosinophil count.以肠梗阻和嗜酸性粒细胞计数正常为表现的结肠担子菌病。
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