在结肠伪阻塞的设置中,胃肠粘性菌
Katherine Domenici1, Matthew Cappiello1
1Infectious Diseases, Loma Linda University Medical Center, Loma Linda, USA.
Cureus
|January 6, 2026
概括
胃肠粘膜,一种罕见的真菌感染,可危及生命,特别是在糖尿病患者. 早期的手术干预对于管理这种侵袭性疾病和改善患者的治疗结果至关重要.
科学领域:
- 菌类学 菌类学是指菌类学.
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
背景情况:
- 粘菌是一种罕见的,机会性感染,由Mucorales真菌引起.
- 它可以影响多个器官系统,胃肠道的参与特别严重.
- 危险因素包括糖尿病,恶性瘤和COVID-19.
研究的目的:
- 报告患有控制不良糖尿病的患者胃肠粘膜病的病例.
- 突出这一侵袭性真菌病的诊断挑战和管理策略.
- 强调早期手术干预对改善结果的重要性.
主要方法:
- 一个49岁的男性患有糖尿病和高血压,出现腹痛的病例报告.
- 诊断工作包括成像和组织病理学.
- 使用广谱PCR识别Rhizopus微.
主要成果:
- 患者因慢性肠道伪阻塞和肺炎而接受了全腹切除术.
- 开发了需要手术修复的底部胃损伤.
- 组织病理学证实了广泛和不规则的真菌,与粘菌结症一致.
结论:
- 胃肠道粘真菌菌是一种新兴的侵袭性真菌病,死亡率高,经常被诊断为死后.
- 手术除对于源控制和改善结果至关重要.
- 对于患有糖尿病等风险因素的患者来说,及时诊断和管理至关重要.
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