球毛壳线虫：在一名后COVID-19患者的鼻窦细菌-真菌并发感染中发现一种稀少的寄生虫

IF 1.6 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Medical Mycology Case Reports Pub Date : 2023-12-03 DOI:10.1016/j.mmcr.2023.100618

Neeta Gade , Soumyabrata Nag , Kiran Kumar Prathipati , Meena Mishra , Vishal Shete

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引用次数: 0

摘要

由于诊断方法有限，COVID-19 后患者的非典型真菌合并感染可能未得到充分报道。我们报告了一例Chaetomium globosum鼻窦炎病例，患者55岁，COVID-19后，左侧面部疼痛，类似于鼻-脑粘液瘤病。paranasal sinus CT显示左侧paranasal sinus粘膜增厚，活检发现一个天鹅绒状白色菌落。活检结果证实为球孢子菌。患者口服泊沙康唑治疗三个月后好转。

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Chaetomium globosum: Spotting a scarce saprophyte in bacterial-fungal co-infection of the sinuses in a post-COVID-19 patient

Atypical fungal co-infections in post-COVID-19 patients may have been underreported due to limited diagnostic methods. We present a case of Chaetomium globosum sinusitis in a 55-year-old post-COVID-19 patient with pain in the left side of the face, mimicking rhino-cerebral mucormycosis.

CT-paranasal sinuses showed mucosal thickening of left paranasal sinuses, biopsy of which grew a velvety, white colony. It was confirmed as Chaetomium globosum. The patient responded to oral Posaconazole therapy for three months.

Prompt identification of atypical fungal agents is critical for appropriate treatment.

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