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一名慢性肉芽肿病患者发生由多变拟青霉引起的多灶性骨髓炎。

Multifocal osteomyelitis caused by Paecilomyces varioti in a patient with chronic granulomatous disease.

作者信息

Cohen-Abbo A, Edwards K M

机构信息

Dept. of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN 37232-2581, USA.

出版信息

Infection. 1995 Jan-Feb;23(1):55-7. doi: 10.1007/BF01710060.

DOI:10.1007/BF01710060
PMID:7744494
Abstract

This report describes an 18-year-old male patient with chronic granulomatous disease who developed cutaneous nodules and multifocal osteomyelitis with the saprophytic fungus Paecilomyces varioti. After several biopsies the organism was identified. Anti-fungal susceptibility testing was performed. Combination therapy with amphotericin B and gamma-interferon followed by long-term therapy with itraconazole and gamma-interferon resulted in a clinical response.

摘要

本报告描述了一名患有慢性肉芽肿病的18岁男性患者,其感染了腐生真菌拟青霉,出现了皮肤结节和多灶性骨髓炎。经过多次活检后鉴定出该病原体。进行了抗真菌药敏试验。两性霉素B和γ干扰素联合治疗,随后用伊曲康唑和γ干扰素进行长期治疗,产生了临床反应。

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本文引用的文献

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Paecilomyces fungus infection of the maxillary sinus.上颌窦拟青霉感染
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Hyalohyphomycosis by Paecilomyces lilacinus in a renal transplant patient and a review of human Paecilomyces species infections.一位肾移植患者发生淡紫拟青霉引起的透明丝孢霉病及人类拟青霉属菌种感染的综述
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Disseminated Intravascular Infection Caused by Case Report and Review of the Literature.由……引起的播散性血管内感染 病例报告及文献综述
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Paecilomyces variotii Fungemia in a Patient with Lymphoma Needing Liver Transplant.一名需要肝移植的淋巴瘤患者发生拟青霉血症
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Geosmithia argillacea: an emerging cause of invasive mycosis in human chronic granulomatous disease.地霉属:人类慢性肉芽肿病侵袭性真菌感染的新病因。
Clin Infect Dis. 2011 Mar 15;52(6):e136-43. doi: 10.1093/cid/ciq250.
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Disseminated infection with Pseudallescheria boydii in a patient with chronic granulomatous disease: response to gamma-interferon plus antifungal chemotherapy.慢性肉芽肿病患者播散性波氏假阿利什霉感染:对γ干扰素加抗真菌化疗的反应
Pediatr Infect Dis J. 1991 Jul;10(7):536-9. doi: 10.1097/00006454-199107000-00011.
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N Engl J Med. 1991 Feb 21;324(8):509-16. doi: 10.1056/NEJM199102213240801.
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Peritonitis with Paecilomyces complicating peritoneal dialysis.伴有拟青霉的腹膜炎并发腹膜透析
Pediatr Infect Dis J. 1991 Nov;10(11):869-71.
8
Paecilomyces lilacinus infection in a child with chronic granulomatous disease.一名患有慢性肉芽肿病的儿童发生淡紫拟青霉感染。
J Infect. 1992 Mar;24(2):191-5. doi: 10.1016/0163-4453(92)92980-w.
9
Successful treatment of Paecilomyces varioti infection in a patient with chronic granulomatous disease and a review of Paecilomyces species infections.
Clin Infect Dis. 1992 May;14(5):1023-6. doi: 10.1093/clinids/14.5.1023.