马拉塞西亚血流感染:在临床实践中仍然是一个诊断挑战
Rosalba Petruccelli1, Terenzio Cosio2,3, Valeria Camicia1
1Laboratory of Clinical Microbiology, Policlinico Tor Vergata, 00133, Rome, Italy.
Medical mycology case reports
|July 29, 2024
概括
在一个T细胞急性淋巴细胞白血病患者中发生了一例马拉塞西亚毛皮真菌菌病和细菌血清病. 传统方法诊断了真菌,与自动化系统不同,但患者没有存活.
科学领域:
- 菌类学 菌类学是指菌类学.
- 传染性疾病 传染性疾病
- 血液学 血液学 血液学
背景情况:
- 马拉西 (Malassezia furfur) 是一种机会性真菌,会引起皮肤和全身感染.
- T细胞急性淋巴细胞白血病 (T-ALL) 是一种血液性恶性瘤,可以使患者易患感染.
研究的目的:
- 在T细胞急性淋巴细胞白血病患者中报告一种罕见的马拉塞西亚毛皮真菌病例.
- 为了突出与识别马拉塞西亚毛皮真菌菌相关的诊断挑战.
- 讨论在免疫受损患者中同时存在的细菌性败血症的含义.
主要方法:
- 一个22岁的男性患有T-ALL的病例报告.
- 用显微镜检查和基于培养的方法来识别真菌.
- 与自动化血液培养系统和分子方法的比较.
主要成果:
- 在T-ALL患者中诊断出马拉塞西亚毛皮菌真菌病.
- 同时发现了Bacillus cereus的败血症.
- 自动化血液培养系统和分子方法无法检测真菌感染.
- 患者在住院后18天死亡,尽管接受了治疗.
结论:
- 微观和基于培养的方法对于诊断马拉西亚毛皮真菌病至关重要,特别是当自动化系统失败时.
- 早期和准确的诊断对于管理免疫功能低下患者的机会性真菌感染至关重要.
- 这一案例强调了T-ALL患者同时感染的潜在严重性.
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