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中国真菌学杂志 2017, Vol. 12  Issue (6): 368-370.

病例报告 上一篇    下一篇

皮炎外瓶霉导致的真菌性腹膜炎1例

滕元姬1, 易雪丽1, 罗斌1, 古贤君2, 韦叶生1, 邓鹰1, 韦颖1, 农雪娟1   

  1. 1. 广西右江民族医学院附属医院检验科, 百色 533000;
    2. 广西右江民族医学院附属医院肾内科, 百色 533000
  • 收稿日期:2017-03-02 出版日期:2017-12-28 发布日期:2017-12-28
  • 通讯作者: 罗斌,E-mail:lblb88988@163.com E-mail:lblb88988@163.com
  • 作者简介:滕元姬,女(汉族),本科,主管技师.E-mail:67689080@qq.com
  • 基金资助:

    桂西地区浅部感染真菌流行病学调查及药敏监测(Z2008477)

A case of fungal peritonitis caused by Exophiala dermatitidis

TENG Yuan-ji1, YI Xue-li1, LUO Bin1, GU Xian-jun2, WEI Ye-sheng1, DENG Ying1, WEI Ying1, NONG Xue-juan1   

  1. 1. Medical clinical laboratory, Affiliated Hospital of YouJiang Medical University for Nationalities, Baise 533000;
    2. Nephrology dept, Affiliated Hospital of YouJiang Medical University for Nationalities, Baise 533000
  • Received:2017-03-02 Online:2017-12-28 Published:2017-12-28

摘要:

报道1例由皮炎外瓶霉(Exophiala dermatitidisEd)导致的真菌性腹膜炎。此菌分离于1名长期腹膜透析患者的腹水。皮炎外瓶霉主要引起皮肤及皮下组织、中枢神经系统感染,引起腹膜炎者少见。现对此临床分离株进行真菌学分析、鉴定、药敏实验。患者经拔除透析管,改血液透析,同时抗真菌治疗,口服伊曲康唑0.2 g/d,症状明显改善。

关键词: 皮炎外瓶霉, 真菌性腹膜炎, 真菌感染

Abstract:

Report a case of fungal peritonitis in CAPD patient caused by Exophiala dermatitidis.Ed mainly caused skin,subcutaneous tissue,central nervous infection,but rarely was found in human peritonitis infection.The analyzed of characteristic,molecule examination and antifungal susceptibilities of pathogen were carefully performed.The patient showed improved after CAPD was replaced by hemodialysis and oral itraconazole (0.2g/d) treatment.

Key words: Exophiala dermatitidis, fungal peritonitis, fungal infection

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