在老年患者中模仿牛皮的非典型菌根感染:诊断挑战和管理
Muhammad Arshad1, Aakash Kumar2, Muaz Shafique Ur Rehman3
1Rheumatology, National Hospital and Medical Centre, Lahore, PAK.
Cureus
|February 12, 2024
概括
非典型的真菌细菌感染模仿老年患者的牛皮,突显了诊断方面的挑战. 早期怀疑和诊断测试对于准确识别和治疗这些罕见的皮肤疾病至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 非典型的真菌细菌感染呈现出不同的临床症状,往往导致诊断困难.
- 皮肤病的表现可能会被误认为像牛皮这样的常见皮肤疾病.
研究的目的:
- 在老年患者中报告一种非典型的真菌细菌感染的罕见病例.
- 强调非典型的菌根性皮肤感染的诊断挑战和管理策略.
主要方法:
- 临床表现和患者病史审查.
- 皮肤活检与组织病理学检查,以检查颗粒状炎症.
- 培养物和聚合酶链反应 (PCR) 用于真菌细菌的鉴定.
- 排除结核病 (TB) 和其他感染.
主要成果:
- 由于类似的临床外观,最初误诊为牛皮.
- 皮肤活检显示了颗粒状炎症.
- 通过培养和PCR证实了非典型的真菌细菌.
- 在六个月的时间里,用向性抗生素成功治疗.
结论:
- 非典型的真菌细菌感染可以模仿牛皮,需要高度的怀疑指数.
- 活检和培养对于诊断不寻常的皮肤病症至关重要.
- 有效的管理需要及时诊断和适当的抗生素治疗,特别是在伴随疾病的老年患者中.
相关概念视频
Pulmonary Tuberculosis V
180
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
180
Pulmonary Tuberculosis IV
143
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
143
Pulmonary Tuberculosis I
243
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
243
Pulmonary Tuberculosis II
237
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
237
Pneumonia III: Complications and Assessment
219
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
219
Pulmonary Tuberculosis III
327
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
327


