脚关节的形肌病:一个病例报告
Shrihari L Kulkarni1, Manjunath Daragad1, Vigneshwar Jayapal1
1Department of Orthopaedics, SDM College of Medical Sciences and Hospital, Shri Dharmasthala Manjunatheshwara University, Dharwad, Karnataka, India.
Journal of orthopaedic case reports
|October 27, 2023
概括
这份病例报告详细介绍了一种罕见的脚关节真菌感染,骨性神经菌 (PHM). 早期诊断和伊特拉可纳治疗导致了无疼痛的恢复和恢复功能.
科学领域:
- 医学真菌学 医学真菌学
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
背景情况:
- 肌肉骨性真菌感染非常罕见.
- 骨神经 (PHM) 是一种不常见的诊断,之前报告有限.
研究的目的:
- 在脚关节出现罕见的真菌感染病例.
- 突出骨发炎 (PHM) 作为慢性脚疾病的差异诊断.
- 强调早期诊断和治疗的重要性,以获得有利的结果.
主要方法:
- 一名56岁的男性患者出现了两年的右脚疼痛和胀的病史.
- 进行了关节关节的关节透视活检.
- 活检的组织病理学检查显示了与PHM一致的有色素的真菌.
主要成果:
- 组织病理学证实了有色素的真菌和多核巨细胞的存在,这表明PHM.
- 该患者接受了抗真菌药物伊特拉科纳治疗.
- 在一年的随访中,患者报告说完全减轻了疼痛,恢复了日常活动.
结论:
- 在慢性脚胀的情况下,应考虑真菌感染,包括PHM.
- 及时诊断和适当的抗真菌治疗对于成功管理和功能恢复至关重要.
- 这一案例补充了关于骨神经形菌根的有限文献,强调了它的稀有性和临床意识的必要性.
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