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流行性皮肤孢子丝菌病:昆士兰州因发霉干草导致的16例病例报告。

Epidemic cutaneous sporotrichosis: report of 16 cases in Queensland due to mouldy hay.

作者信息

Conias S, Wilson P

机构信息

Toowoomba Eye and Skin Clinic, Queensland, Australia.

出版信息

Australas J Dermatol. 1998 Feb;39(1):34-7. doi: 10.1111/j.1440-0960.1998.tb01239.x.

DOI:10.1111/j.1440-0960.1998.tb01239.x
PMID:9529687
Abstract

We report an epidemic of sporotrichosis in a south-east Queensland rural community. Sporotrichosis is a fungal infection due to the organism Sporothrix schenckii, typically presenting with cutaneous lesions. Sixteen cases of cutaneous sporotrichosis were seen over a 9 month period in the Darling Downs region of Queensland. All patients had had contact with a batch of mouldy hay presumed to be contaminated by Sporothrix schenckii. Nine of 16 patients were male; the youngest patient was aged 11 and the oldest was 67 years of age. Lymphocutaneous sporotrichosis was seen in 50% of patients; the rest demonstrated the fixed cutaneous form. No cases of disseminated cutaneous or systemic sporotrichosis were seen. One case demonstrated lymphangitis related to sporotrichosis. No apparent difference in the duration to diagnosis was demonstrated to exist between lymphocutaneous or fixed cutaneous types.

摘要

我们报告了昆士兰东南部一个乡村社区的孢子丝菌病疫情。孢子丝菌病是由申克孢子丝菌引起的真菌感染,通常表现为皮肤病变。在昆士兰达令草地地区9个月内共发现16例皮肤孢子丝菌病病例。所有患者均接触过一批推测被申克孢子丝菌污染的发霉干草。16例患者中9例为男性;最年轻的患者11岁,最年长的67岁。50%的患者表现为淋巴管型皮肤孢子丝菌病;其余患者表现为固定皮肤型。未发现播散性皮肤或系统性孢子丝菌病病例。有1例表现为与孢子丝菌病相关的淋巴管炎。淋巴管型或固定皮肤型在诊断所需时间上未显示出明显差异。

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