Bearer E A, Nelson P R, Chowers M Y, Davis C E
Department of Medicine, University of California, San Diego 92103-8416.
J Clin Microbiol. 1994 Jul;32(7):1823-4. doi: 10.1128/jcm.32.7.1823-1824.1994.
A 49-year-old woman with diabetes mellitus rapidly developed necrotizing cellulitis with fat necrosis and vasculitis after minor trauma to the right arm. Zygomycosis was diagnosed histologically. The lesion responded to aggressive debridement, amphotericin B, and normalization of blood glucose. Cultures yielded structures characteristic of Saksenaea vasiformis only after transfer to saline agar.
一名49岁的糖尿病女性在右臂受到轻微创伤后迅速发展为伴有脂肪坏死和血管炎的坏死性蜂窝织炎。组织学诊断为接合菌病。病变通过积极清创、两性霉素B治疗以及血糖正常化得到缓解。仅在转种至盐琼脂后,培养物才产生了瓦氏瓶霉的特征性结构。