Axenhus Michael, Nåsell Hans, Svensson Per-Anton, Brangstrup Bo-Martin, Stenström Christine
med dr, ST-läkare, Danderyds sjukhus, Stockholm.
med dr, överläkare, ortopedkliniken, Danderyds sjukhus.
Lakartidningen. 2024 Jun 3;121:23180.
This text discusses a rare case of soft tissue infection caused by the fungus Saksenaea in a young, immunocompetent woman following an all-terrain vehicle accident abroad. Despite initial treatment, her wound worsened, necessitating multiple surgical revisions and aggressive antifungal therapy with liposomal Amphotericin B. The interdisciplinary collaboration among orthopedic surgeons, infectious disease specialists, and plastic surgeons played a vital role in her successful treatment. Prompt identification of the fungus and immediate intervention were crucial. This case emphasizes the importance of awareness among healthcare providers regarding this rare condition and underscores the significance of early diagnosis and timely surgical and medical interventions for a positive outcome.
本文讨论了一名年轻、免疫功能正常的女性在国外全地形车事故后，由真菌萨氏菌引起的罕见软组织感染病例。尽管进行了初始治疗，她的伤口仍恶化，需要多次手术修正以及使用脂质体两性霉素B进行积极的抗真菌治疗。骨科医生、传染病专家和整形外科医生之间的跨学科合作在她的成功治疗中发挥了至关重要的作用。及时识别真菌并立即进行干预至关重要。该病例强调了医疗服务提供者对这种罕见病症的认识的重要性，并强调了早期诊断以及及时进行手术和药物干预以取得良好结果的重要性。
