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一名糖尿病患者中由[未提及具体病因]引起的罕见肠道毛霉病:病例报告。 (你原文中“caused by ”后面内容缺失)

A rare intestinal mucormycosis caused by in a patient with diabetes: a case report.

作者信息

Liu Qinqin, Chen Ping, Xin Li, Zhang Jiahao, Jiang Meijie

机构信息

Department of Hematology, The Affiliated Tai'an City Central Hospital of Qingdao University, Tai'an, Shandong, China.

Department of Gastroenterology, The Affiliated Tai'an City Central Hospital of Qingdao University, Tai'an, Shandong, China.

出版信息

Front Med (Lausanne). 2024 Oct 16;11:1435239. doi: 10.3389/fmed.2024.1435239. eCollection 2024.

DOI:10.3389/fmed.2024.1435239
PMID:39478820
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11521839/
Abstract

Mucormycosis is an aggressive fungal disease. Gastrointestinal mucormycosis is rare, but its clinical symptoms lack specificity and mortality is high. Here, we report a case of intestinal mucormycosis caused by in a 65-year-old woman with diabetes mellitus. The patient exhibited extensive mucosal tissue damage in the colon, with broad, undivided filamentous fungal hyphae present in the intestinal tissue. Therefore, the patient was suspected to have a filamentous fungal infection. Colonic tissue samples were obtained for fungal culture, and the fungus was identified as based on morphology and DNA sequencing. This case highlights the importance of pathologists and microbiologists in identifying pathogenic fungi and the significance of screening for mucormycosis in high-risk patient populations.

摘要

毛霉病是一种侵袭性真菌病。胃肠道毛霉病较为罕见,但其临床症状缺乏特异性且死亡率高。在此,我们报告一例由 引起的肠道毛霉病,患者为一名65岁的糖尿病女性。该患者结肠出现广泛的黏膜组织损伤,肠道组织中存在粗大、无分隔的丝状真菌菌丝。因此,怀疑该患者有丝状真菌感染。获取结肠组织样本进行真菌培养,并根据形态学和DNA测序将该真菌鉴定为 。本病例凸显了病理学家和微生物学家在鉴定致病真菌方面的重要性以及在高危患者群体中筛查毛霉病的意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c6c/11521839/2e75265d745f/fmed-11-1435239-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c6c/11521839/73af53e6a693/fmed-11-1435239-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c6c/11521839/85b30d1d3c7a/fmed-11-1435239-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c6c/11521839/2e75265d745f/fmed-11-1435239-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c6c/11521839/73af53e6a693/fmed-11-1435239-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c6c/11521839/85b30d1d3c7a/fmed-11-1435239-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c6c/11521839/2e75265d745f/fmed-11-1435239-g003.jpg

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本文引用的文献

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2
Invasive Gastrointestinal Mucormycosis.侵袭性胃肠道毛霉病
ACG Case Rep J. 2023 Sep 23;10(9):e01161. doi: 10.14309/crj.0000000000001161. eCollection 2023 Sep.
3
Comparative evaluation of histopathological analysis, KOH wet mount and fungal culture to diagnose fungal infections in post-COVID patients.组织病理学分析、氢氧化钾湿片法和真菌培养对新冠后患者真菌感染诊断的比较评估
Indian J Pathol Microbiol. 2023 Jul-Sep;66(3):540-544. doi: 10.4103/ijpm.ijpm_663_21.
4
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5
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Front Oncol. 2022 Aug 15;12:949910. doi: 10.3389/fonc.2022.949910. eCollection 2022.
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The cross-talk between mucormycosis, steroids and diabetes mellitus amidst the global contagion of COVID-19.在2019冠状病毒病全球大流行背景下毛霉病、类固醇与糖尿病之间的相互影响
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