一名肾移植患者的皮下暗色丝孢霉病和诺卡菌病

Subcutaneous phaeohyphomycosis and nocardiosis in a kidney transplant patient.

作者信息

McCown H F, Sahn E E

机构信息

Department of Dermatology, Medical University of South Carolina, Charleston, USA.

出版信息

J Am Acad Dermatol. 1997 May;36(5 Pt 2):863-6. doi: 10.1016/s0190-9622(97)70042-2.

DOI:10.1016/s0190-9622(97)70042-2

PMID:9146569

Abstract

Phaeohyphomycosis and nocardiosis are uncommon infections that are more frequently reported in immunocompromised patients. To our knowledge, this is the first report of subcutaneous phaeohyphomycosis caused by Exophiala jeanselmei in association with systemic infection with Nocardia asteroides. The patient's phaeohyphomycosis responded to surgical excision and multi-drug therapy, and the patient underwent prolonged therapy with trimethoprim/sulfamethoxazole for treatment of the nocardiosis.

摘要

暗色丝孢霉病和诺卡菌病是罕见的感染，在免疫功能低下的患者中报告更为频繁。据我们所知，这是首例由琼氏外瓶霉引起的皮下暗色丝孢霉病合并星形诺卡菌全身感染的报告。患者的暗色丝孢霉病经手术切除和多药治疗后有反应，并且患者接受了甲氧苄啶/磺胺甲恶唑的长期治疗以治疗诺卡菌病。