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一例酷似横纹肌肉瘤的担子菌病:诊断难题。

A case of basidiobolomycosis mimicking rhabdomyosarcoma: A diagnostic challenge.

作者信息

Alskaff Rasha, Alkhudari Anas, Skaff Fawaz, Sabbah Belal Nedal, Abouzied Moheieldin M

机构信息

College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.

Department of Radiology, Medical Imaging Services, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

出版信息

Radiol Case Rep. 2022 Jul 22;17(9):3425-3431. doi: 10.1016/j.radcr.2022.07.004. eCollection 2022 Sep.

Abstract

Basidiobolomycosis is a rare curable fungal infection caused by the saprophytic fungus Basidiobolus ranarum. It often causes skin infections but rarely infects visceral tissues in humans. Gastrointestinal basidiobolomycosis is an emerging form, which is rare but is increasingly reported. Due to its ability to mimic more common diagnoses such as chronic inflammatory disorders and malignancies, Basidiobolomycosis imposes a diagnostic challenge on most physicians. Therefore, a timely and correct diagnosis by laboratory tests and careful review of images along with proper medical management can save patients from invasive treatments and reduce both morbidity and mortality. Here, we present a rare case of an 8-year-old boy with basidiobolomycosis initially misdiagnosed as rhabdomyosarcoma. We aim to highlight basidiobolomycosis as a potential differential from masses on imaging under the right clinical circumstances and to provide radiologists with key imaging details to help recognize this infectious etiology and reduce its associated morbidity.

摘要

蛙粪霉病是一种由腐生真菌蛙粪霉引起的罕见的可治愈真菌感染。它常引起皮肤感染,但很少感染人体内脏组织。胃肠道蛙粪霉病是一种新出现的类型,较为罕见但报告日益增多。由于其能够模拟慢性炎症性疾病和恶性肿瘤等更常见的诊断,蛙粪霉病给大多数医生带来了诊断挑战。因此,通过实验室检查及时、正确地诊断,并仔细审查影像,同时进行适当的医疗管理,可以使患者避免侵入性治疗,降低发病率和死亡率。在此,我们报告一例罕见的8岁男孩蛙粪霉病病例,该病例最初被误诊为横纹肌肉瘤。我们旨在强调在合适的临床情况下,蛙粪霉病作为影像上肿块的一种潜在鉴别诊断,并为放射科医生提供关键的影像细节,以帮助识别这种感染病因并降低其相关发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e00e/9309575/68ada000e1b7/gr1.jpg

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