一个不寻常的布拉斯托菌菌病的呈现
Ryan Lokkesmoe1, Acacia Dishman2, John C Feemster2
1Medical College of Wisconsin, Department of Medicine, Milwaukee, Wisconsin, rklokkesmoe@gmail.com.
WMJ : official publication of the State Medical Society of Wisconsin
|September 28, 2023
概括
本案例研究呈现了一个罕见的布拉斯托米科斯病例,一种真菌感染,影响大脑,喉,皮肤和膝盖,而不涉及肺部. 早期诊断和治疗对于管理这种异常呈现的芽细胞菌至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 菌类学 菌类学是指菌类学.
- 临床病例报告 临床病例报告
背景情况:
- 芽细胞菌是一种罕见的pyogranulomatous真菌感染.
- 通常会影响肺和皮肤;其他部位不常见.
- 诊断依赖于活检,组织病理学和培养.
研究的目的:
- 报告一个独特的骨髓菌根症病例.
- 强调考虑罕见感染的重要性.
- 为了突出诊断挑战在非典型的呈现.
主要方法:
- 一个42岁的男性患有膝盖疼痛的案例介绍.
- 检查显示腹部病变和随后的工作.
- 活检证实了芽细胞结核;成像检测发现了大脑和喉病变.
主要成果:
- 患者出现了膝盖疼痛和皮肤病变.
- 芽细胞菌通过皮肤病变的活检来诊断.
- 确定了大脑和喉病变,没有肺部参与.
结论:
- 这是第一个报告的脑部,喉,皮肤和膝盖受伤而没有肺部感染的芽细胞瘤病例.
- 强调需要进行彻底的体检,并考虑不寻常的感染.
- 及时的抗真菌治疗导致了显著的症状改善.
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