银××,男、50岁、汉族,呼市巧报公社菜农,以右手腕部外伤,局部出现红色硬肿,顶部破溃渗液,在某医院局部换药,并肌注青、链霉素20余天无效后来我院就诊,检查:右手腕部只尺骨处皮肤约有核桃大红色硬肿、触之痛疼,皮损顶部呈表浅溃疡,有渗液,少许脓性分泌物及褐色结痂,疑为孢子丝菌病进行真菌镜检及培养。结果:取分泌物涂片革兰氏染色,镜下见多核细胞,未见菌体。取褐色结痂接种于沙氏斜面琼脂培 Silver × ×, male, 50 years old, Han nationality, Hohhot clever commune vegetable farmers to the right wrist injury, local red sclerosis, ulceration exudate top, local dressing in a hospital, and intramuscular injection of green, Streptomyces After more than 20 days invalid I came to our hospital, check: only the right wrist ulnar skin at about the big red scabies, touch the pain, the top of the skin lesions were superficial ulcers, exudate, a little purulent secretions and brown Scab, suspected spores mycosis fungal microscopy and culture. Results: Gram stain secretion smear, see the multi-nuclear cells, no bacteria. Take a brown scab and inoculate Saber bevel agar