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由……引起的深部皮肤暗色丝孢霉病:一例报告

Deep cutaneous phaeohyphomycosis caused by : A case report.

作者信息

Cavens Thuy Thanh, de Vries Janneke, Verleisdonk-Bolhaar Suzanne, Buil Jochem B, van Marion Arienne

机构信息

Department of Pathology VieCuri, Tegelseweg 210, 5912 BL Venlo, Netherlands.

Department of Medical Microbiology Viecuri, Tegelseweg 210, 5912 BL Venlo, Netherlands.

出版信息

Med Mycol Case Rep. 2025 Jul 14;49:100717. doi: 10.1016/j.mmcr.2025.100717. eCollection 2025 Sep.

DOI:10.1016/j.mmcr.2025.100717
PMID:40697728
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12281006/
Abstract

is a dematiaceous fungus rarely causing cutaneous and respiratory infections. We present a case of deep cutaneous infection in a 69-year-old patient in the Netherlands with stage IV breast cancer on dexamethasone therapy. The patient exhibited a skin plaque lesion, and biopsy revealed pigmented, septate hyphae without muriform cells, consistent with a diagnosis of phaeohyphomycosis. Surgical excision and culture confirmed . Afterwards the patient received a three-week course of itraconazole, which led to infection resolution. This report and review of literature underscores the diagnostic and therapeutic approaches for managing deep cutaneous infections caused by .

摘要

是一种暗色真菌,很少引起皮肤和呼吸道感染。我们报告一例在荷兰的69岁IV期乳腺癌患者,该患者正在接受地塞米松治疗,发生了深部皮肤感染。患者出现皮肤斑块病变,活检显示有色素沉着、有隔菌丝,无砖格状细胞,符合暗色丝孢霉病的诊断。手术切除和培养得到了证实。之后患者接受了为期三周的伊曲康唑治疗,感染得到缓解。本报告及文献综述强调了由……引起的深部皮肤感染的诊断和治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f5c/12281006/1a23c1c4d418/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f5c/12281006/1a23c1c4d418/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f5c/12281006/1a23c1c4d418/gr1.jpg

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本文引用的文献

1
Dematiaceous fungal keratitis caused by - A case report.由 - 引起的暗色丝孢霉性角膜炎——病例报告
Am J Ophthalmol Case Rep. 2024 Feb 7;33:102006. doi: 10.1016/j.ajoc.2024.102006. eCollection 2024 Mar.
2
Case of phaeohyphomycosis caused by Cladophialophora boppii successfully treated with local hyperthermia and systemic terbinafine.由博氏枝孢瓶霉引起的暗色丝孢霉病病例经局部热疗和全身使用特比萘芬成功治愈。
J Dermatol. 2020 Jul;47(7):e250-e251. doi: 10.1111/1346-8138.15357. Epub 2020 Apr 24.
3
Superficial mycosis of the foot caused by Cladophialophora boppii.
博氏枝孢霉引起的足部浅表真菌病。
J Dermatol. 2018 Jun;45(6):e144-e145. doi: 10.1111/1346-8138.14195. Epub 2018 Jan 10.
4
An updated comprehensive systematic review of Cladophialophora bantiana and analysis of epidemiology, clinical characteristics, and outcome of cerebral cases.枝孢瓶霉的最新综合系统评价及脑型病例的流行病学、临床特征和结局分析。
Med Mycol. 2017 Aug 1;55(6):579-604. doi: 10.1093/mmy/myw124.
5
ESCMID and ECMM joint clinical guidelines for the diagnosis and management of systemic phaeohyphomycosis: diseases caused by black fungi.ESCMID 和 ECMM 联合临床指南:系统暗色丝孢霉病的诊断和管理——由黑真菌引起的疾病。
Clin Microbiol Infect. 2014 Apr;20 Suppl 3:47-75. doi: 10.1111/1469-0691.12515.
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Phaeohyphomycoses, emerging opportunistic diseases in animals.暗色丝孢霉病,动物中新兴的机会性疾病。
Clin Microbiol Rev. 2013 Jan;26(1):19-35. doi: 10.1128/CMR.00065-12.
7
Black yeast-like fungi in skin and nail: it probably matters.皮肤和指甲中的黑酵母样真菌:这可能很重要。
Mycoses. 2012 Mar;55(2):161-7. doi: 10.1111/j.1439-0507.2011.02055.x. Epub 2011 Jul 8.
8
Subcutaneous phaeohyphomycosis caused by Cladophialophora boppii.由拟外瓶霉引起的皮下暗色丝孢霉病。
Indian J Dermatol Venereol Leprol. 2010 Nov-Dec;76(6):695-8. doi: 10.4103/0378-6323.72474.
9
Toenail infection by Cladophialophora boppii.鲍氏外瓶霉引起的趾甲感染。
Med Mycol. 2011 Feb;49(2):190-3. doi: 10.3109/13693786.2010.516458. Epub 2010 Oct 18.
10
Pulmonary Cladophialophora boppii infection in a lung transplant recipient: case report and literature review.肺移植受者的博氏枝孢瓶霉肺部感染:病例报告及文献综述
J Heart Lung Transplant. 2009 Jun;28(6):635-7. doi: 10.1016/j.healun.2009.02.014. Epub 2009 May 5.