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一名38岁患者外伤性前臂截肢后发生毛霉骨髓炎。

Mucor osteomyelitis after traumatic forearm amputation in a 38-year-old patient.

作者信息

Spuehler Dominik, Fuchs Johannes, Hainich Joerg

机构信息

Department of Hand-, Plastic and Reconstructive Surgery, Cantonal Hospital Saint Gallen, Switzerland.

出版信息

Case Reports Plast Surg Hand Surg. 2023 Sep 21;10(1):2259468. doi: 10.1080/23320885.2023.2259468. eCollection 2023.

DOI:10.1080/23320885.2023.2259468
PMID:37744665
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10515656/
Abstract

We report the case of a forest ranger who developed a polymicrobial infection with Mucor circinelloides after traumatic forearm amputation. Based on our case report we discuss epidemiology and management of this rare and potentially fatal infection.

摘要

我们报告了一例森林护林员的病例，该患者在创伤性前臂截肢后发生了由卷枝毛霉引起的多微生物感染。基于我们的病例报告，我们讨论了这种罕见且可能致命感染的流行病学和管理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4988/10515656/26427c172c51/ICRP_A_2259468_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4988/10515656/d5b533e7c7ba/ICRP_A_2259468_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4988/10515656/0881413ef7c8/ICRP_A_2259468_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4988/10515656/26427c172c51/ICRP_A_2259468_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4988/10515656/d5b533e7c7ba/ICRP_A_2259468_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4988/10515656/0881413ef7c8/ICRP_A_2259468_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4988/10515656/26427c172c51/ICRP_A_2259468_F0003_C.jpg

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本文引用的文献

1
Mucor Osteomyelitis of the Distal Radius Necessitating Ulnocarpal Fusion.累及桡骨远端的毛霉菌骨髓炎需行尺腕关节融合术
Cureus. 2021 Jan 20;13(1):e12813. doi: 10.7759/cureus.12813.
2
Epidemiology and Diagnosis of Mucormycosis: An Update.毛霉病的流行病学与诊断：最新进展
J Fungi (Basel). 2020 Nov 2;6(4):265. doi: 10.3390/jof6040265.
3
Mucor as a cause of surgical site infection.
Trop Doct. 2020 Jul;50(3):249-251. doi: 10.1177/0049475520921284. Epub 2020 Apr 29.
4
Global guideline for the diagnosis and management of mucormycosis: an initiative of the European Confederation of Medical Mycology in cooperation with the Mycoses Study Group Education and Research Consortium.全球毛霉病诊断和管理指南：欧洲医学真菌学会联合会与真菌感染研究组教育和研究联盟合作开展的一项倡议。
Lancet Infect Dis. 2019 Dec;19(12):e405-e421. doi: 10.1016/S1473-3099(19)30312-3. Epub 2019 Nov 5.
5
The epidemiology and clinical manifestations of mucormycosis: a systematic review and meta-analysis of case reports.毛霉病的流行病学和临床表现：病例报告的系统评价和荟萃分析。
Clin Microbiol Infect. 2019 Jan;25(1):26-34. doi: 10.1016/j.cmi.2018.07.011. Epub 2018 Jul 21.
6
Challenges in the diagnosis and treatment of mucormycosis.毛霉病诊断与治疗中的挑战。
Med Mycol. 2018 Apr 1;56(suppl_1):93-101. doi: 10.1093/mmy/myx101.
7
Bone and joint infections caused by mucormycetes: A challenging osteoarticular mycosis of the twenty-first century.毛霉菌引起的骨与关节感染：21世纪具有挑战性的骨关节炎性真菌病。
Med Mycol. 2017 Oct 1;55(7):691-704. doi: 10.1093/mmy/myw136.
8
Epidemiology and clinical manifestations of mucormycosis.毛霉病的流行病学和临床表现。
Clin Infect Dis. 2012 Feb;54 Suppl 1:S23-34. doi: 10.1093/cid/cir866.
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Hyperbaric oxygen in the treatment of invasive fungal infections: a single-center experience.高压氧治疗侵袭性真菌感染：单中心经验
Isr Med Assoc J. 2007 May;9(5):355-7.
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Hyperbaric oxygen as an adjunctive treatment for zygomycosis.高压氧作为接合菌病的辅助治疗方法。
Clin Microbiol Infect. 2005 Jul;11(7):515-7. doi: 10.1111/j.1469-0691.2005.01170.x.