真菌性足菌肿2例及文献回顾分析

Fungal mycetoma: two cases report and literature review

摘要:

真菌性足菌肿是一种长期存在于皮肤和皮下组织的慢性肉芽肿性病变,常见于田间工作者被土壤中、植物或荆棘上的刺扎伤皮下组织而引起的真菌感染。真菌性足菌肿的病例国内少见。本文报告2例分别由灰色马杜拉菌和黄曲霉感染导致的真菌性足菌肿,予以手术清创及抗真菌药物治疗后好转的病例,旨在提高临床医生对真菌性足菌肿的认识,做到早诊断、早治疗。

Abstract:

Fungal mycetoma is a chronic granulomatous lesion that persists in the skin and subcutaneous tissue for a long time. It is commonly caused by fungal infection in field workers who are pricked to the subcutaneous tissue by thorns from soil, plants, or bramble. Fungal mycetoma cases is rare in China. This article reports two cases of fungal mycetoma caused by Madurella grisea and Aspergillus flavus infection, which improve after surgical debridement and antifungal drug treatment. This study aims to improve clinicians’ understanding on fungal mycetoma and achieve early diagnosis and treatment.