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中国真菌学杂志 2014, Vol. 9  Issue (3): 172-174.

病例报告 上一篇    下一篇

3例不同临床表现的石膏样小孢子菌感染

朱小红, 张海平, 尹兴平, 华海康   

  1. 南京医科大学附属无锡二院皮肤科, 无锡 214002
  • 收稿日期:2014-01-12 出版日期:2014-06-28 发布日期:2014-06-28
  • 通讯作者: 尹兴平,E-mail:yinxp006@126.com E-mail:yinxp006@126.com
  • 作者简介:朱小红,女(汉族),本科,主任医师.E-mail:zxh6801@126.com

Three cases of dermatophytoses with various clinical manifestations caused by Microsporum gypseum

ZHU Xiao-hong, ZHANG Hai-ping, YIN Xing-ping, HUA Hai-kang   

  1. Department of Dermatology, Wuxi 2nd People's Hospital Affiliated to Nanjing Medical University, Wuxi 214002, China
  • Received:2014-01-12 Online:2014-06-28 Published:2014-06-28

摘要:

报道3例由石膏样小孢子菌感染引起的、临床表现不同的皮肤癣病。例1表现为阴囊红色斑片,上覆白色斑点状痂屑,刮去痂屑后见湿润的基底面,患者父亲有同样病变,父子穿用同一件内裤,其父与家猫有密切接触。例2患儿左面部擦伤后局部出现钱币大小红斑,中央为白色痂皮,边缘有渗出伴痒。例3患儿右面部出现钱币大小、边界清楚的红斑,表面有散在的丘疹及少许鳞屑伴痒,偶有家猫接触。3例患者均平素体健。取皮损表面组织直接镜检均发现大量菌丝;真菌培养及鉴定为石膏样小孢子菌。诊断为石膏样小孢子菌所致皮肤感染。3例患者经抗真菌治疗1~2周后痊愈,取得很好疗效。

关键词: 石膏样小孢子菌, 体癣, 皮肤癣菌

Abstract:

Three cases of dermatophytoses caused by Microsporum gypseum with various clinical manifestations were reported. Case 1 developed exudative erythema on the scrotum overlying white paint dot-like incrustation for 1 month. His father had the similar problem and they had shared a same pants. The father had frequent contact with domestic cat. Case 2 presented with a coin-sized erythema with crusts in the middle and exudation in the border on the left side of his face for 2 weeks after local abrasion. Case 3 had a coin-sized, well-circumscribed erythema overlying scattered papules and scales for 3 weeks. She occasionally played with the cat at home. A large amount of hyphea were noticed from the lesion by direct microscope examination. Fungal colonies developed on Sabouraud dextrose agar (SDA) after inoculating for 2 weekswere identified as Microsporum gypseum. The lesions resolved completely after topical use of different antimycotic agents or oral itraconazole capsules for 1-2 weeks.

Key words: Microsporum gypseum, tinea corporis, dermatophytoses

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