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病例报告:由戈登氏菌引起的足菌肿。

Case report: Mycetoma caused by Gordonia soli.

机构信息

Universidade Federal do Paraná, Hospital de Clínicas, Curitiba, PR, Brasil.

Universidade Federal do Paraná, Departamento de Saúde Coletiva, Curitiba, PR, Brasil.

出版信息

Rev Soc Bras Med Trop. 2023 Sep 22;56:e03262023. doi: 10.1590/0037-8682-0326-2023. eCollection 2023.

Abstract

Mycetoma is a neglected tropical disease caused by fungi (eumycetoma) or bacteria (actinomycetoma), with high morbidity. Gordonia spp. are gram-positive bacteria that have previously been reported to cause mycetoma. Here, we report a case of Gordonia soli (initially misidentified as Nocardia spp.) as the etiological agent of actinomycetoma in a 64-year-old patient. After a literature search in the Cochrane Library, LILACS, SciELO, MEDLINE, PubMed, and PubMed Central databases, we concluded that this is the first case report of mycetoma caused by Gordonia soli. The current case highlights the importance of microbiological diagnosis of mycetoma and the challenges in its management.

摘要

足菌肿是一种由真菌(外生菌肿)或细菌(放线菌肿)引起的被忽视的热带病,发病率较高。戈登氏菌属是革兰氏阳性细菌,以前曾有报道称其可引起足菌肿。在这里,我们报告了一例由戈登氏菌属(最初被误诊为诺卡氏菌属)引起的 64 岁患者放线菌肿的病例。在 Cochrane 图书馆、LILACS、SciELO、MEDLINE、PubMed 和 PubMed Central 数据库中进行文献检索后,我们得出结论,这是首例由戈登氏菌属引起的足菌肿病例报告。目前的病例强调了足菌肿微生物诊断的重要性及其管理方面的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd8f/10550213/ab734e0f8c83/1678-9849-rsbmt-56-e0326-2023-gf1.jpg

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