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免疫功能低下患者由[具体病因未给出]引起的皮肤和淋巴管感染:一例病例报告及文献综述

Cutaneous and Lymphangitic Infection Caused by in Immunocompromised Patients: A Case Report with a Narrative Review of the Literature.

作者信息

Lupia Tommaso, Sarda Cristina, Canta Francesca, Casarotto Marco, Accardo Guido, Roccuzzo Gabriele, Macagno Nicole, Gelato Federica, Senetta Rebecca, Ottobrelli Antonio, De Rosa Francesco Giuseppe, Corcione Silvia, Ribero Simone, Quaglino Pietro, Fava Paolo

机构信息

Unit of Infectious Diseases, City of Health and Sciences, 10100 Turin, Italy.

Dermatology Clinic, Section of Dermatology, Department of Medical Sciences, University of Turin, 10100 Turin, Italy.

出版信息

Life (Basel). 2025 Sep 17;15(9):1453. doi: 10.3390/life15091453.

DOI:10.3390/life15091453
PMID:41010395
Abstract

BACKGROUND

() is an emerging filamentous fungus known to cause opportunistic infections, particularly in immunocompromised patients. Formerly known as , this pathogen is widespread in the environment and can lead to a range of infections, from superficial skin lesions to invasive diseases. This article presents a case of deep cutaneous hyalohyphomycosis caused by in a liver transplant patient, followed by a review of the literature focusing on new antifungal agents.

METHODS

We reported a brief case description followed by a narrative review of the literature regarding cutaneous and lymphangitic infections in immunocompromised patients.

RESULTS

We conducted a review of the literature over the past 20 years, focusing on the clinical features, diagnostic challenges, and therapeutic outcomes of cutaneous and lymphangitic infections in immunocompromised hosts.

CONCLUSIONS

This review highlights the critical importance of early diagnosis through the analysis of biopsy samples using standard microbiological and histological techniques, complemented by innovative molecular biology methods. We also emphasise the role of appropriate antifungal treatment, despite the absence of an established standard of care, particularly in high-risk patients. Furthermore, we review and discuss the current lack of a standardised therapeutic regimen and the potential of novel antifungal agents as promising treatment options for infections.

摘要

背景

()是一种新兴的丝状真菌,已知可引起机会性感染,尤其是在免疫功能低下的患者中。该病原体以前称为,在环境中广泛存在,可导致一系列感染,从浅表皮肤病变到侵袭性疾病。本文介绍了一例肝移植患者由()引起的深部皮肤透明丝孢霉病病例,随后对侧重于新型抗真菌药物的文献进行了综述。

方法

我们报告了一个简短的病例描述,随后对关于免疫功能低下患者()皮肤和淋巴管感染的文献进行了叙述性综述。

结果

我们对过去20年的文献进行了综述,重点关注免疫功能低下宿主中()皮肤和淋巴管感染的临床特征、诊断挑战和治疗结果。

结论

本综述强调了通过使用标准微生物学和组织学技术分析活检样本,并辅以创新的分子生物学方法进行早期诊断的至关重要性。我们还强调了适当抗真菌治疗的作用,尽管缺乏既定的护理标准,特别是在高危患者中。此外,我们回顾并讨论了目前缺乏标准化治疗方案以及新型抗真菌药物作为()感染有前景的治疗选择的潜力。

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本文引用的文献

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Case Report: Cutaneous Mycosis Caused by Purpureocillium lilacinum.病例报告:淤泥红假单胞菌引起的皮肤真菌感染。
Am J Trop Med Hyg. 2023 Feb 20;108(4):693-695. doi: 10.4269/ajtmh.22-0608. Print 2023 Apr 5.
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Chronic subcutaneous infection of Purpureocillium lilacinum in an immunocompromised patient: Case report and review of the literature.免疫功能低下患者紫丁香拟青霉慢性皮下感染:病例报告及文献复习
Med Mycol Case Rep. 2022 Sep 3;38:5-8. doi: 10.1016/j.mmcr.2022.08.001. eCollection 2022 Dec.
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Let's talk about sex characteristics-As a risk factor for invasive fungal diseases.
让我们谈谈性特征——作为侵袭性真菌病的一个风险因素。
Mycoses. 2022 Jun;65(6):599-612. doi: 10.1111/myc.13449. Epub 2022 May 25.
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Late Onset of Chronic Granulomatous Disease Revealed by Paecilomyces lilacinus Cutaneous Infection.迟发性慢性肉芽肿病由帚霉属皮肤感染引发。
J Clin Immunol. 2022 Jan;42(1):60-63. doi: 10.1007/s10875-021-01140-1. Epub 2021 Oct 1.
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Fatal hyalohyphomycosis with cutaneous involvement caused by Purpureocillium lilacinum in an immunocompromised patient with bullous pemphigoid.免疫功能低下的大疱性类天疱疮患者发生由紫色毛壳菌引起的致命性透明丝孢霉病伴皮肤累及。
Acta Biomed. 2021 Jul 1;92(3):e2021139. doi: 10.23750/abm.v92i3.10100.
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Cutaneous Hyalophomycosis Caused by Purpureocillium lilacinum in an Autoimmune Hemolytic Anemia Patient with Previous Pulmonary Tuberculosis and Cutaneous Cryptococcosis Infection.紫青霉引起的皮肤透明丝孢霉病,发生于一名曾患肺结核和皮肤隐球菌感染的自身免疫性溶血性贫血患者。
Mycopathologia. 2021 Aug;186(4):563-564. doi: 10.1007/s11046-021-00571-z. Epub 2021 Jun 23.
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Climate change and the emergence of fungal pathogens.气候变化与真菌病原体的出现。
PLoS Pathog. 2021 Apr 29;17(4):e1009503. doi: 10.1371/journal.ppat.1009503. eCollection 2021 Apr.
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Invasive infections with Purpureocillium lilacinum: clinical characteristics and outcome of 101 cases from FungiScope® and the literature.紫色毛癣菌所致侵袭性感染:FungiScope®及文献中 101 例病例的临床特征和结局。
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Isavuconazonium for the treatment of Purpureocillium lilacinum infection in a patient with pyoderma gangrenosum.艾沙康唑用于治疗坏疽性脓皮病患者的淡紫拟青霉感染。
Med Mycol Case Rep. 2020 May 30;29:18-21. doi: 10.1016/j.mmcr.2020.05.006. eCollection 2020 Sep.
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Successful Treatment of Recurrent Cutaneous Purpureocillium lilacinum (Paecilomyces lilacinus) Infection with Posaconazole and Surgical Debridement.泊沙康唑联合手术清创成功治疗复发性皮肤淡紫拟青霉(紫丁香拟青霉)感染
Acta Derm Venereol. 2019 Dec 1;99(13):1313-1314. doi: 10.2340/00015555-3320.