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在移植接受者中,Majocchi粒瘤的广泛形式
Cihan Uysal1, Hanife Oguz2, Hasan Cifci2
1Department of Nephrology, Erciyes University Medical Faculty, Köşk Distinct, Dede Efendi Street, 38039, Melikgazi, Kayseri, Turkey. drcihanuysal@hotmail.com.
CEN case reports
|May 19, 2024
概括
接受免疫抑制治疗的移植患者可能会患上罕见的皮肤感染,如马约基粒瘤. 在这种侵袭性真菌感染的情况下,早期诊断和口服特比纳治疗是有效的.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 皮肤病学 皮肤病学
- 传染性疾病 传染性疾病
背景情况:
- 移植提供了更好的生存率和生活质量,但需要长期免疫抑制.
- 免疫抑制增加了移植受体对机会性感染的易感性.
- 皮肤菌感染虽然通常是良性的,但对免疫功能低下的人来说存在风险.
研究的目的:
- 报告一个罕见的发散马约基粒瘤病例,发生在接受脏移植的人身上.
- 突出机会性真菌感染在移植后早期的挑战.
- 强调在免疫受损患者中识别异常皮肤表现的重要性.
主要方法:
- 一个年轻的脏移植接受者经历了广泛的皮肤病变的案例研究.
- 包括皮肤活检用于他的病理学检查和组织培养.
- 致病原体的鉴定, *Trichophyton rubrum*. *Trichophyton rubrum*. *Trichophyton rubrum*. *Trichophyton rubrum*. *Trichophyton rubrum*. *Trichophyton rubrum*. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum. *Trichophyton rubrum.
主要成果:
- 移植后四个月,患者在四肢上出现了众多结节性皮肤病变.
- 皮肤活检证实了侵入性真菌感染与马约基粒瘤一致.
- *Trichophyton rubrum*从组织培养物中分离出来.
结论:
- 马约基粒瘤是一种罕见但显著的皮肤植物病,发生在深层皮肤中.
- 移植后的强度免疫抑制可以导致传播的机会性感染.
- 及时诊断和口服特比纳治疗对这个患者有效.
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