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临床病理相关性在罕见慢性感染性疾病中的重要性：放线菌性足菌肿误诊为葡萄状菌病——病例报告

Importance of clinico-pathologic correlation in rare, chronic infectious diseases: Actinomycetoma misdiagnosed as botryomycosis-A case report.

作者信息

Masuka Josiah Tatenda, Mthembu Luanda, Duze Khumo, Moodley Ameshin, Rikhotso Tshikani Norman, Mosam Anisa

机构信息

Department of Dermatology, Nelson Mandela School of Medicine University of KwaZulu-Natal Durban South Africa.

Department of Dermatology Inkosi Albert-Luthuli Central Hospital Durban KwaZulu-Natal South Africa.

出版信息

Clin Case Rep. 2024 May 23;12(6):e8977. doi: 10.1002/ccr3.8977. eCollection 2024 Jun.

DOI:10.1002/ccr3.8977
PMID:38799522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11116480/
Abstract

This case report explores the clinical journey of a patient initially diagnosed with botryomycosis, only to later reveal the underlying and rare condition of actinomycosis. The report highlights the challenges in getting to an accurate diagnosis, emphasizing the importance of considering uncommon pathologies, the utility of multi-disciplinary teams and clinico-pathologic correlation in clinical practice.

摘要

本病例报告探讨了一名最初被诊断为葡萄状菌病的患者的临床历程，结果后来发现其潜在的罕见疾病为放线菌病。该报告强调了准确诊断所面临的挑战，着重指出在临床实践中考虑罕见病理学、多学科团队的作用以及临床病理相关性的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21cc/11116480/bda2a3183eec/CCR3-12-e8977-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21cc/11116480/e966ddcaed0b/CCR3-12-e8977-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21cc/11116480/bda2a3183eec/CCR3-12-e8977-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21cc/11116480/e966ddcaed0b/CCR3-12-e8977-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21cc/11116480/bda2a3183eec/CCR3-12-e8977-g001.jpg

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本文引用的文献

1
Staphylococcus aureus causing primary foot botryomycosis mimicking actinomycetoma: a case report from Sudan.金黄色葡萄球菌引起的原发性足部放线菌病样足 botryomycosis：来自苏丹的一例报告。
Int J Infect Dis. 2022 Nov;124:224-226. doi: 10.1016/j.ijid.2022.10.010. Epub 2022 Oct 12.
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Mycetoma: The Spectrum of Clinical Presentation.足菌肿：临床表现谱
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Mycetoma: a clinical dilemma in resource limited settings.真菌性足菌肿：资源有限环境中的临床难题。
Ann Clin Microbiol Antimicrob. 2018 Aug 10;17(1):35. doi: 10.1186/s12941-018-0287-4.
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Extensive Cutaneous Botryomycosis With Subsequent Development of Nocardia-Positive Wound Cultures.广泛皮肤型葡萄球菌病伴诺卡菌阳性伤口培养结果的后续发展
J Cutan Med Surg. 2018 May/Jun;22(3):344-346. doi: 10.1177/1203475418755762. Epub 2018 Jan 24.
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Susceptibility profiles of Nocardia spp. to antimicrobial and antituberculotic agents detected by a microplate Alamar Blue assay.奴卡菌属对抗菌药物和抗结核药物敏感性的微量 Alamar Blue 检测分析。
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Actinomycetoma: dramatic response to modified two-step regimen.放线菌病：改良两步方案的显著疗效。
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