菌瘤 (Fusarium falciforme):一个被忽视的热带疾病的诊断挑战
Noralwani Badarol Hisham1, Shaharuddin Abdul Rhani2, Razana Mohd Ali3
1Department of Medical Microbiology, Universiti Putra Malaysia Fakulti Perubatan dan Sains Kesihatan, Serdang, Selangor, Malaysia.
BMJ case reports
|March 8, 2024
概括
菌瘤是一种真菌感染,在马来西亚是罕见的. 分子诊断在足部感染中确定了Fusarium falciforme,强调了对这种新兴的真菌病原体的一种健康方法.
科学领域:
- 医学真菌学 医学真菌学
- 传染性疾病 传染性疾病
- 分子诊断学 分子诊断学
背景情况:
- 菌瘤是一种罕见的皮下真菌感染,其特点是排放谷物.
- 这一案例突出显示了马来西亚罕见的eumycetoma.
研究的目的:
- 在马来西亚报告一种罕见的eumycetoma病例.
- 用分子方法识别引起的真菌病原体.
- 讨论对疾病管理和公共卫生的影响.
主要方法:
- 临床表现和患者病史.
- 组织病理学检查组织和颗粒.
- 通过rDNA内部转录间隔器 (ITS) 测序进行分子识别.
- 用外科切除和口服伊特拉科纳治疗.
主要成果:
- 一个免疫能力不佳的男性患有囊瘤的病例,左脚胀,,鼻腔和白的粒状排泄.
- 组织学揭示了隔膜真菌菌.
- 分子鉴定证实 *Fusarium falciforme* 是病原体.
- 最初的治疗有所改善,但在治疗默认后出现复发.
结论:
- 在马来西亚,虫 (Fusarium falciforme) 已被确定为eumycetoma的病原体.
- 分子诊断对于在eumycetoma中准确识别真菌物种至关重要.
- 这种复发突显了治疗坚持的重要性.
- 建议采用"一个健康"的方法来管理*F. falciforme*,因为它可能对人类,动物和植物健康产生影响.
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