首页> 中文期刊> 《世界核心医学期刊文摘:皮肤病学分册》 >皮下炎性肉芽肿揭示了免疫抑制的患者的皮肤毛霉病(法国)

皮下炎性肉芽肿揭示了免疫抑制的患者的皮肤毛霉病(法国)

             

摘要

cqvip:Introduction. Mucormycosis is an exceptional opportunist fungal infection, despite the ubiquitous nature of its pathogenic agents. It is sometimes revealed by primary cutaneous involvement and its prognosis is bad in the case of visceral dissemination. Our observation illustrates the need for early diagnosis and treatment of this infection. Observation. An immunodepressed, 45 year-old woman, had developed necrotic hypodermitis lesions on the lower limbs. The skin biopsy led to the diagnosis of mucormycosis. Despite treatment with liposomal amphotericin, the fungal infection worsened, spread to the organs (lungs and brain) and the patient died. Discussion. This case report underlines the potential severity of mucormycosis, which is presently emerging in the onco-hematological field. The infection is sometimes revealed by inaugural ulcerated and/or necrotic cutaneous lesions. Its diagnosis must be evoked early so that salvage medical-surgical treatment can be initiated.

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