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小儿担子菌病：一种罕见且易被误诊的疾病。

Pediatric Basidiobolomycosis: An Uncommon and Misdiagnosed Entity.

作者信息

Choudhary Ritul, Tiwari Charu, Borkar Nitinkumar, Ganguly Satyaki, Keche Archana

机构信息

Department of Dermatology, AIIMS, Raipur, Chhattisgarh, India.

Department of Paediatric Surgery, AIIMS, Raipur, Chhattisgarh, India.

出版信息

Indian Dermatol Online J. 2024 Aug 30;15(5):817-822. doi: 10.4103/idoj.idoj_833_23. eCollection 2024 Sep-Oct.

DOI:10.4103/idoj.idoj_833_23
PMID:39359286
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11444429/
Abstract

Basidiobolomycosis is an unusual chronic subcutaneous zygomycosis reported from tropical regions which is usually misdiagnosed because of its rarity. In this retrospective review, we describe 6 children with basidiobolomycosis who were managed in the Department of Paediatric Surgery at a tertiary institute in central India over a period of four and half years (January 2018 to June 2022). All patients were less than 5 years of age and had no co-morbidities (immune-competent). All were males. All were misdiagnosed at outside hospital. All responded well to anti-fungal therapy. High index of suspicion and biopsy of the lesions lead to appropriate diagnosis and management. Management appears good with triazole antifungals with fewer side effects and safety in children.

摘要

担子菌病是一种罕见的慢性皮下接合菌病，多见于热带地区，因其罕见常被误诊。在这项回顾性研究中，我们描述了6例担子菌病患儿，他们于2018年1月至2022年6月的四年半时间里在印度中部一家三级医疗机构的小儿外科接受治疗。所有患者年龄均小于5岁，无合并症（免疫功能正常）。均为男性。所有患者在外院均被误诊。所有患者对抗真菌治疗反应良好。高度怀疑并对病变进行活检可实现正确诊断和治疗。三唑类抗真菌药物治疗效果良好，副作用较少且对儿童安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cb/11444429/5a79d6b4c378/IDOJ-15-817-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cb/11444429/531b3bb5c98f/IDOJ-15-817-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cb/11444429/d6b4b5fb8146/IDOJ-15-817-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cb/11444429/e9e9a6ef712e/IDOJ-15-817-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cb/11444429/9a2ab059de43/IDOJ-15-817-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cb/11444429/1557904f8ab6/IDOJ-15-817-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cb/11444429/5a79d6b4c378/IDOJ-15-817-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cb/11444429/531b3bb5c98f/IDOJ-15-817-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cb/11444429/d6b4b5fb8146/IDOJ-15-817-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cb/11444429/e9e9a6ef712e/IDOJ-15-817-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cb/11444429/9a2ab059de43/IDOJ-15-817-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cb/11444429/1557904f8ab6/IDOJ-15-817-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0cb/11444429/5a79d6b4c378/IDOJ-15-817-g006.jpg

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本文引用的文献

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Basidiobolomycosis: Case Report and Literature Overview.担子菌病：病例报告及文献综述
Indian Dermatol Online J. 2021 Mar 2;12(2):307-311. doi: 10.4103/idoj.IDOJ_456_20. eCollection 2021 Mar-Apr.
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Med Mycol Case Rep. 2019 Feb 14;24:13-17. doi: 10.1016/j.mmcr.2019.02.002. eCollection 2019 Jun.
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Mammary subcutaneous basidiobolomycosis in a male.男性乳腺皮下蛙粪霉病
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Delay and misdiagnosis of basidiobolomycosis in tropical South India: case series and review of the literature.印度南部热带地区担子菌病的延误诊断与误诊：病例系列及文献综述
Paediatr Int Child Health. 2016 Feb;36(1):52-7. doi: 10.1080/20469047.2015.1109220.
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Gastrointestinal Basidiobolomycosis, a Rare and Under-diagnosed Fungal Infection in Immunocompetent Hosts: A Review Article.胃肠道担子菌病：免疫功能正常宿主中一种罕见且易漏诊的真菌感染——综述文章
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Subcutaneous phycomycosis--fungal infection mimicking a soft tissue tumor: a case report and review of literature.皮下接合菌病——一种模拟软组织肿瘤的真菌感染：病例报告及文献复习。
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