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Surgical Management of Primary Cutaneous Cryptococcosis after Failed Medical Management

机译:药物治疗失败后原发性皮肤隐球菌病的外科治疗

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摘要

Cryptococcus neoformans is an encapsulated yeast responsible for disseminated meningitis in immunocompromised hosts. It is a saprophyte in nature and pigeons are the primary host responsible for transmitting of the fungus [1]. Although the genus Cryptococcus contains more than 50 species, four main serotypes exist; Serotype A and D (var neoformans) and B and C (var gattii). C. neoformans has been isolated from decaying wood or fruits and bird droppings, while C. gattii is found in decomposing wood and from the eucalyptus tree in tropical and subtropical areas [2]. C. neoformans {var neoformans) causes most cryptococcal infections in immunocompromised patients and C. neoformans (var gattii), which is considered the more virulent form, affects both immunocompetent and immunosuppressed patients.
机译:新型隐球菌是一种封装的酵母,负责免疫受损宿主中的弥漫性脑膜炎。它本质上是腐生植物,鸽子是负责真菌传播的主要宿主[1]。尽管隐球菌属包含50多个物种,但存在四种主要血清型。血清型A和D(新福尔摩斯种)和B和C(加蒂瓦种)。从变形的木材或水果和鸟粪中分离出新角梭菌,而在热带和亚热带地区,分解木材和桉树中发现了加迪梭菌[2]。新型隐球菌(var neoformans)在免疫力低下的患者中引起大多数隐球菌感染,而被认为是更具毒性的形式的新型隐球菌(var gattii)同时影响具有免疫能力和免疫抑制的患者。

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