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气管插管并发皮肤接合菌病(毛霉菌病):诊断与成功治疗

Cutaneous zygomycosis (mucormycosis) complicating endotracheal intubation: diagnosis and successful treatment.

作者信息

Dickinson M, Kalayanamit T, Yang C A, Pomper G J, Franco-Webb C, Rodman D

机构信息

Department of Medicine, University of Colorado Health Sciences Center, Denver 80262, USA.

出版信息

Chest. 1998 Jul;114(1):340-2. doi: 10.1378/chest.114.1.340.

Abstract

Diagnosis and successful therapy for primary cutaneous zygomycosis (mucormycosis) that complicated the securing of an endotracheal tube with cloth tape. Primary cutaneous mucormycosis is a rare fungal infection noted most often in immunosuppressed individuals. Cloth tape, of the type commonly used to secure endotracheal tubes, often is contaminated with fungal spores. In the case reported here, cloth tape securing the endotracheal tube was the probable vector for transmission of zygomycosis to a moderately imunocompromised host. Rapid diagnosis and combined medical and surgical therapy resulted in a favorable outcome.

摘要

原发性皮肤接合菌病(毛霉菌病)的诊断与成功治疗,该病因用布带固定气管插管而引发。原发性皮肤毛霉菌病是一种罕见的真菌感染,多见于免疫抑制个体。常用于固定气管插管的那种布带常被真菌孢子污染。在本文报道的病例中,固定气管插管的布带可能是接合菌病传播至中度免疫受损宿主的传播媒介。快速诊断以及药物与手术联合治疗带来了良好的结果。

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