免疫功能看似正常的个体中隐球菌性骨髓炎的隐匿表现
CRYPTIC PRESENTATION OF CRYPTOCOCCAL OSTEOMYELITIS IN AN APPARENTLY IMMUNOCOMPETENT INDIVIDUAL.
作者信息
Subramony Hariharan, Raghavan Balagurunathan, Hegde Manjunatha Gajanana, Subbaiyan Eswer, Ramanathan Kartik
机构信息
Department of Internal Medicine, Apollo Hospitals, Greams Road, Chennai, Tamil Nadu, 600003, India.
出版信息
Eur J Case Rep Intern Med. 2023 Feb 28;10(3):003737. doi: 10.12890/2023_003737. eCollection 2023.
UNLABELLED
Cryptococcosis is an opportunistic fungal infection seen in immunocompromised individuals. It is caused by the yeast-like fungus and predominantly affects the lungs and central nervous system. Immunocompetent individuals very rarely develop bone involvement and only a few cases of cryptococcal osteomyelitis in patients without other comorbid conditions have been described. Only one other case of pelvic involvement, which was accompanied by lymphopaenia, has been reported. We describe the case of a 42-year-old immunocompetent man with cryptococcal hip osteomyelitis.
LEARNING POINTS
Osteomyelitis due to is very rare.Cryptococcal osteomyelitis is uncommon in immunocompetent individuals.Prompt intravenous treatment with antifungal medication should be offered to all patients with cryptococcal osteomyelitis.
未标注
隐球菌病是一种在免疫功能低下个体中出现的机会性真菌感染。它由酵母样真菌引起，主要影响肺部和中枢神经系统。免疫功能正常的个体很少发生骨骼受累，仅有少数无其他合并症患者的隐球菌性骨髓炎病例被描述。仅报告过另一例伴有淋巴细胞减少的盆腔受累病例。我们描述了一例42岁免疫功能正常男性患隐球菌性髋部骨髓炎的病例。
学习要点
由[具体真菌名称未给出]引起的骨髓炎非常罕见。隐球菌性骨髓炎在免疫功能正常个体中不常见。所有隐球菌性骨髓炎患者均应迅速给予抗真菌药物静脉治疗。
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