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中国真菌学杂志 2022, Vol. 17  Issue (4): 297-299,303.

病例报告 上一篇    下一篇

母女共患须癣毛癣菌感染3例

杨思璇, 单百卉, 李福秋   

  1. 吉林大学第二医院皮肤性病科, 长春 130041
  • 收稿日期:2021-03-08 出版日期:2022-08-28 发布日期:2022-08-31
  • 通讯作者: 李福秋,E-mail:lifuqiu1234@126.com E-mail:lifuqiu1234@126.com
  • 作者简介:杨思璇,女(汉族),硕士研究生在读.E-mail:13152043726@163.com

Three cases of Trichophyton mentagrophytes infection among two girls and their mother

YANG Sixuan, SHAN Baihui, LI Fuqiu   

  1. Dermatology department of the Second Hospital of Jilin University, Changchun 130000, China
  • Received:2021-03-08 Online:2022-08-28 Published:2022-08-31

摘要: 病例1,女,9岁,头皮红斑、丘疹、脱屑,伴脓肿1个月,切开引流术后1 d;病例2,女,9岁,鼻背红斑2周伴脓疱3 d。病例3,女,38岁,面部红斑、脱屑,伴瘙痒1周。病例1、2为孪生姐妹,病例3为病例1、2的母亲。3例患者皮损经真菌镜检、培养及分子生物学测序均鉴定为须癣毛癣菌。病例1密切接触过流浪猫。病例1诊断为脓癣,经口服甲泼尼龙(美卓乐)片,口服伊曲康唑胶囊,外用酮康唑洗剂后病情明显好转。病例2、3诊断为面癣,外用卢立康唑4周后痊愈,未留瘢痕。以上病例目前仍在随访中。

关键词: 须癣毛癣菌, 脓癣, 流浪猫, 人畜共患

Abstract: Case-1 was a 9-year-old girl with erythema, papules, scales and abscesses at the head for 1 month, having accepted a traditional incisional drainage 1 day ago. Case-2 was a 9-year-old girl with erythema for 2 weeks and pustules for 3 days at her nasal dorsum. Case-3 was a 38-year-old woman with erythema, scales and pruritus at her face for 1 week.Case-1 and Case-2 are twins and Case-3 is their mother. The pathogenic strains of them were identified as Trichophyton mentagrophytes. Case one had close contact with an ill stray cat. The lesion of Case-1 was improved by oral methylprednisolone tablets, oral administration of itraconazole, and external application of ketoconazole lotion. Case-2 and Case-3 were cured after external application of luliconazole without cicatrization. The three patients are still being followed-up.

Key words: Trichophyton mentagrophytes, kerion, stray cat, zoonotic

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