沃里康纳醇诱导的 ?? 关节炎:一种模仿骨性菌菌的模仿剂
Priyal J Shah1, Janis E Blair1
1Division of Infectious Diseases, Mayo Clinic, Phoenix, AZ, USA.
The American journal of case reports
|August 2, 2024
概括
沃里科纳治疗菌菌症可能会导致模仿真菌感染的骨头疼痛. 这种状况,沃里可纳诱导的周节炎,在药物停用后消失,突出了需要在受影响的患者中进行仔细诊断的需要.
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
- 药理学 药理学是指药理学的学科.
背景情况:
- 由Coccidioides真菌引起的Coccidioidomycosis是美国西南部和西半球的特有病.
- 肺性菌菌是常见的;传播疾病影响脑膜,骨,皮肤和软组织.
- 沃里科纳用于耐火性菌菌,但由于其高含量,可以诱导周节炎.
研究的目的:
- 报告一例可纳诱导的脑膜炎病例,发生在患有菌性脑膜炎的患者身上.
- 突出这种不良药物反应的诊断挑战和临床特征.
- 强调在阿佐尔治疗期间患有肌肉骨疼痛的患者考虑沃里可纳诱导的周围炎的重要性.
主要方法:
- 一个50岁的女性患者的病例报告,患有可性脑膜炎,不耐可纳.
- 沃里可纳的治疗导致了新发的骨头疼痛,最初归因于骨性皮性皮性菌.
- 患者病史,血清化物和骨性酸酶水平证实了沃里可纳诱导的周节炎的诊断.
主要成果:
- 这名患者出现了模仿骨形皮形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形.
- 实验室发现包括血清化物和骨性酸酶的升高.
- 停止服用伏利康纳导致周节炎迅速消失.
结论:
- 沃里康纳醇诱导的周周炎是治疗菌菌症的患者的潜在并发症.
- 接受伏利康纳治疗的患者的肌肉骨疼痛需要考虑周节炎,特别是在化物或骨性酸酶水平升高的情况下.
- 立即停止服用伏利康纳,有效地扭转了这种情况.
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