在威斯康星州发现的皮肤芽细胞菌病的审查
Nina Punyamurthy1, Kimberly Katz2, Alan Vu3
1Medical College of Wisconsin, Milwaukee, Wisconsin.
概括
芽细胞菌可以呈现为皮肤感染,即使没有显著的肺部参与. 组织病理学和培养对于诊断皮肤芽细胞菌来说至关重要,有助于早期治疗.
科学领域:
- 医学真菌学 医学真菌学
- 传染性疾病 传染性疾病
- 皮肤病学 皮肤病学
背景情况:
- 布拉斯托米科斯是一种威斯康星州特有的真菌感染,通常会影响肺部,但可以扩散到皮肤上.
- 皮肤芽细胞菌的呈现和诊断需要进一步评估,以便及时进行干预.
研究的目的:
- 评估皮肤芽细胞菌的呈现和诊断方法.
- 了解皮肤参与的胚芽球菌病的临床特征.
主要方法:
- 从2009年到2021年被诊断患有皮肤芽细胞菌的患者的回顾性图表审查.
- 使用ICD-9和ICD-10代码识别胚芽细胞结核病的受试者.
主要成果:
- 确定了20名患有皮肤芽细胞菌的患者;65%是男性,平均年龄为55.5岁.
- 50%的患者最初表现出皮肤问题,65%的患者皮肤外参与.
- 诊断是通过单独组织病理学 (55%),培养加组织病理学 (35%) 或单独培养 (5%) 来实现的.
结论:
- 一半患有皮肤芽细胞菌的患者没有表现出临床显著的肺部参与.
- 组织病理学和培养是皮肤芽细胞结核病的必要诊断工具.
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