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由雅致犁头霉引起的广泛性创伤后软组织和肾脏感染的成功治疗。

Successful treatment of extensive posttraumatic soft-tissue and renal infections due to Apophysomyces elegans.

作者信息

Okhuysen P C, Rex J H, Kapusta M, Fife C

机构信息

Center for Infectious Diseases, University of Texas Health Science Center at Houston 77030.

出版信息

Clin Infect Dis. 1994 Aug;19(2):329-31. doi: 10.1093/clinids/19.2.329.

Abstract

We describe the clinical course and successful treatment of a previously healthy man who, after experiencing trauma, presented with severe cutaneous mucormycosis due to Apophysomyces elegans and subsequently developed secondary renal infection. A multidisciplinary approach employing aggressive surgical debridement and therapy with hyperbaric oxygen, liposomal amphotericin B, and interferon-gamma was successful in controlling his infection, obviating the need for nephrectomy.

摘要

我们描述了一名既往健康男性的临床病程及成功治疗过程。该男性在经历创伤后,因雅致犁头霉感染出现严重皮肤毛霉病,随后继发肾脏感染。采用积极手术清创以及高压氧、脂质体两性霉素B和干扰素-γ治疗的多学科方法成功控制了他的感染,避免了肾切除术的需要。

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