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着色芽生菌病

Chromomycosis.

作者信息

Zaias N

出版信息

J Cutan Pathol. 1978 Aug;5(4):155-64. doi: 10.1111/j.1600-0560.1978.tb00953.x.

Abstract

Chromomycosis is a general term to express human and animal fungal infections caused by members of the family Dematiaceae (dark brown or black fungi). Unique host-parasite relationships produce a wide spectrum of clinical disease, sometimes difficult to treat. Four major categories are recognized: 1) Superficial Chromomycosis--A pigmented macule produced by fungus inhabiting exclusively the dead horny layer (stratum corneum) of the skin, as in tinea nigra palmaris. 2) Chromoblastomycosis--A verrucous, slow growing nodule or plaque produced by fungi, characteristically and exclusively present as large brown spherical bodies (chromo bodies) in the dermis. 3) Chromohyphomycosis--A dermal nodule produced by fungi displaying typical brown septated hyphae. Rarely, the fungus may appear as a yeast. It may occur in deeper tissues, i.e., muscles, bone and brain or it may also involve the eye (Keratomycosis). 4) Chromomycetoma--Tumefaction, draining sinuses and presence of colony of organisms as "grain". Dematiaceae are found more frequently in veterinary than in human medicine.

摘要

着色芽生菌病是一个通用术语,用于表示由暗色孢科(深棕色或黑色真菌)成员引起的人类和动物真菌感染。独特的宿主-寄生虫关系会产生广泛的临床疾病,有时难以治疗。主要分为四类:1)浅表着色芽生菌病——由仅寄生于皮肤角质层的真菌产生的色素沉着斑,如掌黑癣。2)着色芽生菌病——由真菌产生的疣状、生长缓慢的结节或斑块,特征性地且仅在真皮中呈现为大的棕色球体(色菌体)。3)暗色丝孢霉病——由显示典型棕色分隔菌丝的真菌产生的皮肤结节。罕见情况下,真菌可能表现为酵母样。它可能发生在更深的组织,如肌肉、骨骼和大脑,也可能累及眼睛(角膜真菌病)。4)足菌肿——出现肿胀、引流窦道以及存在作为“颗粒”的生物体菌落。暗色孢科在兽医学中比在人类医学中更常见。

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