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毛霉病

Mucormycosis.

出版信息

Ann Intern Med. 1980 Jul;93(1):93-108. doi: 10.7326/0003-4819-93-1-93.

Abstract

The term mucormycosis encompasses a distinctive group of infections caused by fungi belonging to genera within the taxonomic order Mucorales, usually Rhizopus, Absidia, Mortierella, and Mucor. These fungi are widespread in nature, subsisting on decaying vegetation and diverse organic materials. Although the fungi and spores of Mucorales show minimal intrinsic pathogenicity toward normal persons, they can initiate aggressive and fulminant infections under certain clinical conditions. Ketoacidotic diabetics are predisposed to rhinocerebral mucormycosis, whereas patients with leukemia or lymphoma are susceptible to pulmonary or disseminated infections. These infections, which often result in devastating long-term sequelae for surviving patients, pose difficult diagnostic and therapeutic challenges.

摘要

毛霉病这一术语涵盖了由毛霉目真菌引起的一组独特感染,这些真菌通常为根霉属、犁头霉属、被孢霉属和毛霉属。这些真菌在自然界广泛存在,以腐烂的植被和各种有机物质为食。虽然毛霉目的真菌和孢子对正常人的内在致病性极小,但在某些临床情况下,它们可引发侵袭性和暴发性感染。酮症酸中毒的糖尿病患者易患鼻脑型毛霉病,而白血病或淋巴瘤患者易患肺部或播散性感染。这些感染常常给存活患者带来严重的长期后遗症,带来了诊断和治疗方面的难题。

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