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一名糖尿病患者的毛霉菌病：来自佐治亚州的病例报告

Mucormycosis in a Diabetic Patient: A Case Report From Georgia.

作者信息

Katsitadze Luka, Javakhishvili Giorgi, Burkadze George, Nemsadze Sofia, Shiukashvili Vakhtang, Kandelaki George, Gabrichidze Tinatin, Didbaridze Tamar, Janashvili Lia

机构信息

Microbiology, Tbilisi State Medical University, Tbilisi, GEO.

Microbiology, Ken Walker International University, Tbilisi, GEO.

出版信息

Cureus. 2024 Sep 14;16(9):e69399. doi: 10.7759/cureus.69399. eCollection 2024 Sep.

DOI:10.7759/cureus.69399
PMID:39282481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11401456/
Abstract

Mucormycosis is a rapidly progressive fungal infection that typically affects immunocompromised patients and diabetics. These fungi are found in soil and vegetation and can be easily inhaled by humans in day-to-day life; however, infection is rare unless specific risk factors are present. This case report presents a typical case of a 39-year-old male with poorly controlled type 1 diabetes mellitus. Initially presenting with a toothache in the upper molars, the infection quickly progressed to sinusitis, necrosis, and multiorgan failure. Based on our experience, prompt recognition of mucormycosis in risk-group patients is essential for improving future outcomes.

摘要

毛霉菌病是一种快速进展的真菌感染，通常影响免疫功能低下的患者和糖尿病患者。这些真菌存在于土壤和植被中，在日常生活中很容易被人类吸入；然而，除非存在特定的危险因素，否则感染很少见。本病例报告介绍了一名典型的39岁1型糖尿病控制不佳的男性患者。最初表现为上颌磨牙牙痛，感染迅速发展为鼻窦炎、坏死和多器官功能衰竭。根据我们的经验，对高危组患者及时识别毛霉菌病对于改善未来预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e11/11401456/f25bda7ce41e/cureus-0016-00000069399-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e11/11401456/9fede52cccda/cureus-0016-00000069399-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e11/11401456/c12d3f25b1b2/cureus-0016-00000069399-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e11/11401456/31d7b39d861f/cureus-0016-00000069399-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e11/11401456/5a52c8211b6d/cureus-0016-00000069399-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e11/11401456/f25bda7ce41e/cureus-0016-00000069399-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e11/11401456/9fede52cccda/cureus-0016-00000069399-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e11/11401456/c12d3f25b1b2/cureus-0016-00000069399-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e11/11401456/31d7b39d861f/cureus-0016-00000069399-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e11/11401456/5a52c8211b6d/cureus-0016-00000069399-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e11/11401456/f25bda7ce41e/cureus-0016-00000069399-i05.jpg

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本文引用的文献

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J Family Med Prim Care. 2022 May;11(5):1664-1671. doi: 10.4103/jfmpc.jfmpc_1479_21. Epub 2022 May 14.
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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。
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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.
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J Clin Microbiol. 2018 Mar 26;56(4). doi: 10.1128/JCM.01886-17. Print 2018 Apr.
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Increasing incidence of mucormycosis in a large Spanish hospital from 2007 to 2015: Epidemiology and microbiological characterization of the isolates.2007年至2015年西班牙一家大型医院毛霉病发病率上升：分离株的流行病学和微生物学特征
PLoS One. 2017 Jun 7;12(6):e0179136. doi: 10.1371/journal.pone.0179136. eCollection 2017.
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Isavuconazole as salvage therapy for mucormycosis.艾沙康唑作为毛霉病的挽救治疗药物。
Med Mycol Case Rep. 2016 Mar 8;11:36-9. doi: 10.1016/j.mmcr.2016.03.002. eCollection 2016 Mar.
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Mucormycosis--from the pathogens to the disease.毛霉菌病——从病原体到疾病。
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Clin Infect Dis. 2012 Feb;54 Suppl 1:S35-43. doi: 10.1093/cid/cir880.
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