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Facial Mucormycosis due to Rhizomucor variabilis: A Case Report
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- Author:
- No author available
- Journal Title:
- INTERNATIONAL JOURNAL OF DERMATOLOGY AND VENEREOLOGY
- Issue:
- 2
- DOI:
- 10.3760/cma.j.issn.1673-4173.2006.02.002
- Key Word:
- 多变根毛霉;真菌病;两性霉素B
Abstract： 目的报道1例因多变根毛霉引起的面部感染.方法经真菌镜检、培养和病理诊断为面部多变根毛霉病.结果患者5岁,因摔跤行鼻骨复位术后,面部出现红色丘疹,斑块,肉芽肿,2003年来我院诊断为面部毛霉病.2004年2月根据药敏试验选择酮康唑200mg/d治疗2个月好转.因其他原因停止治疗,7个月后病情恶化,面部浸润性斑块,坏死,结黑色痂,脓性分泌物,上唇和上腭部分缺失,再次真菌镜检和培养鉴定为多变根毛霉.2004年12月给予两性霉素B治疗2个月,总剂量为50 mg/kg,明显好转,加用伊曲康唑100 mg/d治疗.结论多变毛霉可引起皮肤组织浸润性感染,两性霉素B治疗有效.
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