一种罕见的爆炸菌病表现。

Q3 Medicine
Wisconsin Medical Journal Pub Date : 2023-09-01
Ryan Lokkesmoe, Acacia Dishman, John C Feemster, Daniel McKee, Pinky Jha
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引用次数: 0

摘要

简介:芽菌病是一种罕见的化脓性肉芽肿性感染,最常见的是肺部,有时还包括皮肤。其他表现则不那么常见。诊断依赖于可疑病变的活检、组织病理学和培养。病例介绍:在本例中,一名来自威斯康星州的42岁健康男性因膝盖疼痛2周而被送往急诊科,但没有明确的损伤机制。经过进一步检查,他发现腹部有病变,这是他3年前第一次注意到的,并用抗生素治疗蜂窝组织炎近18个月。这些病变的活检与芽生菌病感染一致,对没有任何肺部受累的大脑和喉部病变进行进一步的检查和检查是值得注意的。立即开始了强有力的抗真菌治疗,他的症状得到了显著改善。讨论:这个病例强调了在没有明确答案的情况下进行彻底体检和考虑罕见感染的重要性。据我们所知,这是第一个未经肺部感染的涉及大脑、喉部、皮肤和膝盖病变的芽生菌病感染的公开例子。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Unusual Presentation of Blastomycosis.

Introduction: Blastomycosis is a rare pyogranulomatous infection that most commonly involves the lungs and sometimes the skin. Other manifestations are much less common. Diagnosis relies on biopsy, histopathology, and culture of suspicious lesions.

Case presentation: In this case, a healthy 42-year-old male from Wisconsin presented to the emergency department with a chief complaint of 2 weeks of knee pain without a clear mechanism of injury. Upon further examination, he was found to have lesions on his abdomen, which he had first noticed over 3 years prior and had been treated with antibiotics as cellulitis for nearly 18 months. Biopsy of these lesions was consistent with blastomycosis infection, and further work-up and examination was notable for brain and laryngeal lesions without any pulmonary involvement. Intense anti-fungal treatment was immediately initiated with dramatic improvement in his symptoms.

Discussion: This case highlights the importance of a thorough physical exam and consideration of rare infections in cases without clear answers. To our knowledge, this is the first published example of a blastomycosis infection involving brain, laryngeal, skin, and knee lesions without pulmonary infection.

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来源期刊
Wisconsin Medical Journal
Wisconsin Medical Journal Medicine-Medicine (all)
CiteScore
1.30
自引率
0.00%
发文量
72
期刊介绍: The Wisconsin Medical Society is the largest association of medical doctors in the state with more than 12,000 members dedicated to the best interests of their patients. With that in mind, wisconsinmedicalsociety.org offers patients a unique source for reliable, physician-reviewed medical information. The Wisconsin Medical Society has been a trusted source for health policy leadership since 1841.
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