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中国真菌学杂志 2017, Vol. 12  Issue (6): 365-367.

病例报告 上一篇    下一篇

极细枝孢霉引起的罕见足踝部脓肿样感染1例

郑文爱1, 徐和平2, 杨先旭1   

  1. 1. 海南省皮肤病医院检验科, 海口 570206;
    2. 厦门大学附属第一医院检验科, 厦门 361003
  • 收稿日期:2017-06-02 出版日期:2017-12-28 发布日期:2017-12-28
  • 通讯作者: 徐和平,E-mail:xmsunxhp@163.com E-mail:xmsunxhp@163.com
  • 作者简介:郑文爱,女(汉族),本科,副主任技师.E-mail:wenai@163.com

One rare case of ankle abscess caused by Cladosporium tenuissimum

ZHENG Wen-ai1, XU He-ping2, YANG Xian-xu1   

  1. 1. Clinical laboratory of Hainan dermatology hospital, Haikou 570206;
    2. Clinical laboratory of the first affiliated hospital of Xiamen university, Xiamen 361003
  • Received:2017-06-02 Online:2017-12-28 Published:2017-12-28

摘要:

报道1例由极细枝孢霉引起的足踝关节处罕见的脓肿样感染。患者女,68岁,农民,水蛭咬伤后局部红肿、溃疡、脓肿伴痛1年。组织病理检查示真皮层暗色孢子,真菌培养为橄榄色丝状菌种,经形态学和分子鉴定为极细枝孢霉。该患者诊断为着色芽生菌病,给予口服伊曲康唑颗粒,0.2 g/次,2次/d,治疗4周后病情明显好转。

关键词: 足部脓肿, 极细枝孢霉, 着色芽生菌病

Abstract:

One rare case of ankle abscess caused by Cladosporium tenuissimum was reported.A 68-year-old peasant woman developed swollen,abscess and ulcer at his right ankle after leech bite one year ago.Histopathological examination revealed brown chlamydospores in tissue and fungal culture showed olive filamentous fungi growth which was identified as Cladosporium tenuissimum by morphology and ITS sequencing.This patient was diagnosed as chromablastomycosis and was prescribed itraconazole 0.2 g bid.The follow-up of four weeks showed obvious improvement.

Key words: ankle abscess, Cladosporium tenuissimum, chromablastomycosis

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