真菌性肛周脓肿作为播散性球孢子菌病的首发表现。
Fungal perianal abscess as the initial presentation of disseminated coccidioidomycosis.
作者信息
Olivo-Freites Christian, Gallardo-Huizar Oscar E, Graber Christopher J, Ikuta Kevin
机构信息
Division of Infectious Diseases, Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA.
Department of Internal Medicine, Olive View-UCLA Medical Center, Sylmar, CA, USA.
出版信息
IDCases. 2022 Nov 1;30:e01636. doi: 10.1016/j.idcr.2022.e01636. eCollection 2022.
Coccidioides is a dimorphic fungus that can cause various clinical presentations, mainly pulmonary, skin, musculoskeletal, and in the central nervous system; most reports are in the southwestern area of the USA. We present a case of a young male with a perianal abscess in the absence of any pulmonary or constitutional symptoms. Perianal abscess as initial manifestation is a novel presentation of coccidioidomycosis in the literature.
球孢子菌是一种双相真菌，可导致多种临床表现，主要累及肺部、皮肤、肌肉骨骼系统及中枢神经系统；大多数报告来自美国西南部地区。我们报告一例年轻男性病例，该患者患有肛周脓肿，且无任何肺部或全身症状。肛周脓肿作为初始表现是文献中球孢子菌病的一种新的表现形式。
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