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卡氏枝孢霉感染二例并文献复习

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2 例患者均为具有外伤史的老年农民,皮损表现为无症状增生性斑块.组织病理学检查示典型的硬壳小体.真菌培养鉴定为卡氏枝孢霉(Cladophialophora carrionii).给予口服伊曲康唑 200 mg每日两次,外用夫西地酸乳膏和硝酸舍他康唑乳膏.1 个月后患者皮损改善.本文通过文献复习,发现中国卡氏枝孢霉感染发病人群主要为中老年(平均年龄 53.7 岁),50%患者有外伤史.受累部位以上肢最为多见,斑块是最常见的皮损形态,平均病程约为 5.4 年,由于缺乏自觉症状,患者往往推迟就诊,可能导致感染蔓延,引起畸残.卡氏枝孢霉对抗真菌药物敏感.
Cladophialophora carrionii infection:two cases report and literature review
Both patients were elderly farmers with a history of trauma.The skin lesions presented as a-symptomatic proliferative plaques.Histopathological examination showed typical sclerotic bodies.Fungal cul-ture identified the fungal as Cladophialophora carrionii.The patient were treated with oral itraconazole 200 mg twice daily,topical fusidic acid cream and sertaconazole nitrate cream.One month later,the patient's skin le-sions improved.We summarized the characters of cases reported in literature,which included Cladophialopho-ra carrionii infection in China were mainly middle-aged and elderly people(mean age 53.7 years),and 50%of the patients had a history of trauma.Upper limbs were the most commonly affected sites,and plaques were the most common manifestation.The average course of disease was about 5.4 years,and due to the lack of sub-jective symptoms,patients often delay seeking medical advice,which may lead to the spread of infection and disability.Cladophialophora carrionii was sensitive to antifungal drugs.

Cladophialophora carrioniichromoblastomycosisfungal infection

赵安琪、刘佳怡、张雍、刘永霞、于长平、刘红

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山东第一医科大学附属皮肤病医院,山东 济南,250022

山东省皮肤病性病防治研究所,山东 济南,250022

卡氏枝孢霉 着色芽生菌病 真菌感染

2025

中国麻风皮肤病杂志
中国麻风防治协会,山东省皮肤病性病防治研究所

中国麻风皮肤病杂志

影响因子:0.302
ISSN:1009-1157
年,卷(期):2025.41(1)