淡紫色青霉菌引起皮肤型透明丝孢霉病:3例病例报道和文献回顾
Cutaneous hyalohyphomycosis caused by Paecilomyces lilacinus: Report of three cases and review of the literature作者机构：Department of Dermatology Mayo Clinic 4500 San Pablo Road Jacksonville FL 32224 United States Dr.
出 版 物：《世界核心医学期刊文摘（皮肤病学分册）》 (Digest of the World Core Medical JOurnals:Dermatology)
年 卷 期：2005年第1卷第2期
页 面：39-39页
学科分类：1002[医学-临床医学] 100206[医学-皮肤病与性病学] 10[医学]
主 题：透明丝孢霉病 青霉 文献回顾 皮肤型 类感染 淡紫色 抗真菌剂 霉菌感染 免疫缺陷者 免疫活性
摘 要：Cutaneous infectionwith Paecilomyces lilacinus is encountered worldwide, with most infections occurring either iatrogenically or in immunocompromisedhosts. We report three cases of cutaneous hyalohyphomycosis caused by P. lilacinus, one of which occurred in an immunocompetent individual. In addition, we review the 17 cases previously reported in the literature. Although this infection can be difficult to treat, most cases are not fatal. Most cases responded well to systemic azole antifungal agents, either alone or in association with surgical excision of the lesion. Paecilomyces species are saprophytic fungi found in soil and decaying organic matter. Infection in humans is rare, but when it occurs treatment is often difficult. We report three cases of cutaneous hyalohyphomycosis caused by P. lilacinus and reviewthe 17 previously reported cases in which the clinical history and response to therapy were described.
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