Fisher J, Tuazon C U, Geelhoed G W
Am Surg. 1980 May;46(5):315-22.
Cutaneous mucormycosis in a renal transplant recipient resulted in gangrenous cellulitis of the neck at an internal jugular cannula site. This nosocomial process was due to a histologically confirmed infection, and cultures revealed Mucor sp. The patient died despite surgical debridement and amphotericin B therapy. Cutaneous mucormycosis is a relatively rare entity with only 12 cases previously reported. In renal transplant patients only nine cases of renal transplant patients only nine cases of mucormycosis have been reported and only one was cutaneous. Also, this case reported is the second originating at an intravenous cannula site; the first recorded patient was diabetic.
一名肾移植受者发生皮肤毛霉病,导致颈内静脉插管部位出现坏疽性蜂窝织炎。这一医院感染过程经组织学确诊为感染,培养显示为毛霉属。尽管进行了手术清创和两性霉素B治疗,患者仍死亡。皮肤毛霉病是一种相对罕见的疾病,此前仅报告过12例。在肾移植患者中,仅报告过9例毛霉病,其中只有1例是皮肤型。此外,本报告的病例是第二例起源于静脉插管部位的病例;首例记录的患者是糖尿病患者。