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一名糖尿病控制不佳患者并发累及胃肠道的毛霉菌病和隐球菌病

Mucormycosis and Cryptococcosis with Gastrointestinal Involvement in a Patient with Poorly Managed Diabetes.

作者信息

Aldahash Bader A, Alnemer Mohammed A, Alsaad Khaled O, Alsohaibani Fahad I

机构信息

Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.

Department of Medicine, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia.

出版信息

Saudi J Med Med Sci. 2023 Jan-Mar;11(1):89-92. doi: 10.4103/sjmms.sjmms_201_22. Epub 2023 Jan 4.

Abstract

Mucormycosis and cryptococcosis are invasive fungal infections that mostly infect immunocompromised patients and are associated with high mortality rates. Here, we report a case of a 54-year-old male with poorly controlled diabetes mellitus who was initially admitted with a complaint of right frontal headache and vomiting for 5 days. The patient was found to have paranasal sinuses mucormycosis, and later developed gastrointestinal cryptococcosis. A multidisciplinary approach and early management are important to avoid any delay in managing these life-threatening infections. To the best of the authors' knowledge, this is the first case reporting concurrent invasive fungal infections in a patient.

摘要

毛霉病和隐球菌病是侵袭性真菌感染,主要感染免疫功能低下的患者,且死亡率很高。在此,我们报告一例54岁男性患者,其糖尿病控制不佳,最初因右侧额部头痛和呕吐5天入院。该患者被诊断为鼻旁窦毛霉病,随后又患上胃肠道隐球菌病。多学科方法和早期管理对于避免延误治疗这些危及生命的感染至关重要。据作者所知,这是首例报告患者同时发生侵袭性真菌感染的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d900/9997857/cdcd6da3efa4/SJMMS-11-89-g001.jpg

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