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題名 | Indolent Cutaneous Mucormycosis with Pulmonary Dissemination in an Asthmatic Patient: Survival after Local Debridement and Amphotericin B Therapy=哮喘病人罹患皮膚白黴菌潰瘍併肺部擴散:以局部擴傷術及Amphotericin B治療成功 |
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作者 | 吳杰亮; 徐武輝; 黃枝梅; 江自得; Wu, Chieh-liang; Hsu, Wu-huei; Huang, Chih-mei; Chiang, Chi-der; |
期刊 | 臺灣醫學會雜誌 |
出版日期 | 20000400 |
卷期 | 99:4 2000.04[民89.04] |
頁次 | 頁354-357 |
分類號 | 415.425 |
語文 | eng |
關鍵詞 | 哮喘; 皮膚白黴菌潰瘍; 肺部擴散; 局部擴傷術; Asthma; Dissemination; Mucormycosis; |
英文摘要 | We describe a 68-year-old asthmatic female patient with multiple pulmonary cavities. A preexisting ecthyma on the left lower leg became erythematous and swollen during exacerbation of her asthma which was under treatment with high- dose steroids. Nonseptate broad hyphae were found in her sputum, pus from the wound, and debrided skin tissue. Hematogenous spread of septic emboli from indolent cutaneous mucormycosis to both lungs was the suspected mechanism of dissemination. High-dose steroid therapy may have been the major contributory factor. The patient was successfully treated with local surgical debridement of the wound and intravenous amphotericin B. |
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