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毛霉菌病继发斜坡骨髓炎

Osteomyelitis of the Clivus Secondary to Mucormycosis.

作者信息

Ahmad Ramiz S, Evanson Davin J, Romeo Michael A

机构信息

Department of Radiology, Drexel University College of Medicine, Wyomissing, USA.

Division of Diagnostic Radiology, Reading Hospital, West Reading, USA.

出版信息

Cureus. 2023 Jul 4;15(7):e41367. doi: 10.7759/cureus.41367. eCollection 2023 Jul.

Abstract

Osteomyelitis of the clivus secondary to mucormycosis is a rare infection of the clivus bone due to infiltration by fungi of the genus Immunocompromised patients and/or those with diabetes mellitus are most at risk of developing this disease. Here, we present the case of a 63-year-old male patient with findings of gas within the clivus on computed tomography angiography. Diagnosis of mucormycosis osteomyelitis was confirmed after endoscopic biopsy and histopathologic examination. Furthermore, as this condition is very difficult to detect on imaging, we emphasize the discussion of typical radiology findings associated with this disease based on this and other case reports in the literature.

摘要

毛霉菌病继发的斜坡骨髓炎是一种罕见的斜坡骨感染,由毛霉属真菌浸润引起。免疫功能低下的患者和/或糖尿病患者最易患此病。在此,我们报告一例63岁男性患者,其计算机断层血管造影显示斜坡内有气体。经内镜活检和组织病理学检查确诊为毛霉菌骨髓炎。此外,由于这种情况在影像学上很难检测到,我们基于此病例及文献中的其他病例报告,着重讨论与该疾病相关的典型放射学表现。

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