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[一名糖尿病女性的皮肤毛霉病。诊断和治疗问题]

[Cutaneous mucormycosis in a diabetic woman. Diagnostic and therapeutic problems].

作者信息

Eschard J P, Poynard J P, Janody D, Ricard Y, Diebold M D, Gari M, Leutenegger M

出版信息

Rev Med Interne. 1984 Nov;5(4):298-302. doi: 10.1016/s0248-8663(84)80005-3.

Abstract

We report a new case of cutaneous mucormycosis in a diabetic woman. The major favouring circumstances are found in this patient: ketoacidosis diabetes, use of bandages, local corticosteroid applications, renal insufficiency. The diagnosis, rarely made on the clinical aspect, is based on the histological and mycological data. A trial of treatment by ketoconazole has been carried out, but without success. The usual treatment by intravenous amphotericine B has been successful.

摘要

我们报告了一例糖尿病女性皮肤毛霉病的新病例。该患者存在诸多主要诱发因素:酮症酸中毒型糖尿病、使用绷带、局部应用皮质类固醇、肾功能不全。该疾病很少通过临床症状确诊,而是基于组织学和真菌学数据。已尝试使用酮康唑进行治疗,但未成功。常规的静脉注射两性霉素B治疗取得了成功。

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