Fahal A H, Sharfi A R, Sheik H E, el Hassan A M, Mahgoub E S
Department of Surgery, Faculty of Medicine, University of Khartoum, Sudan.
Trans R Soc Trop Med Hyg. 1996 Sep-Oct;90(5):550-2. doi: 10.1016/s0035-9203(96)90318-1.
This paper reports 2 hitherto undescribed complications of mycetoma, urinary extravasation and expectoration of mycetoma grains due to cutaneo-urethral and cutaneo-pleuro-bronchial fistulae, respectively. The first patient had an infection with Actinomadura madurae which started in the foot and had spread progressively to involve the whole limb, anterior abdominal wall, perineum and urethra. The second patient had Madurella mycetomatis infection of the hand and, in spite of extensive treatment, the infection had spread to the axilla, chest wall, lung and bronchial tree. Both patients died of the sequelae of these complications. The pathogenesis of these unusual complications is discussed.
本文报道了足菌肿2种迄今未被描述的并发症，即分别由于皮肤尿道瘘和皮肤胸膜支气管瘘导致的尿外渗和咳出足菌肿颗粒。首例患者感染马杜拉放线菌，始于足部，逐渐蔓延累及整个肢体、前腹壁、会阴和尿道。第二例患者手部感染马杜拉足菌肿，尽管接受了广泛治疗，但感染已蔓延至腋窝、胸壁、肺和支气管树。两名患者均死于这些并发症的后遗症。文中讨论了这些罕见并发症的发病机制。
