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目的探讨侵袭性赛多孢霉属感染的临床表现和实验室检查特点。方法收集2011年1月至2017年4月收治的8例赛多孢霉属患者的临床资料,对赛多孢霉属感染相关病例的临床表现、诱发因素和实验室检查的特点进行回顾性分析。结果8例患者中检出尖端赛多孢霉6株,波氏赛多孢霉1株,多育赛多孢霉1株。外伤、环境暴露和免疫力降低是赛多孢霉属感染的常见诱发因素。标本直接镜检均查见有隔菌丝,阳性率100%。菌落生长速度相对较快,侵袭力强,菌落形态多样,呈白色羊绒状至黑酵母样,随着培养时间的延长,从菌落中心开始颜色逐渐变深,结合镜下形态可进行菌属的快速鉴别。结论侵袭性赛多孢霉属感染病程进展迅速,病情凶险,以尖端赛多孢霉感染最多见。应加强对赛多孢霉属感染疾病的认识,提高诊治水平。
Objective To investigate the clinical manifestations and laboratory features of invasive Acitreomyceta infection. Methods The clinical data of 8 cases of Cervus molds collected from January 2011 to April 2017 were retrospectively analyzed. The clinical manifestations, predisposing factors and laboratory examinations of cases related to the infection of Sedum mold were retrospectively analyzed . Results Among the 8 patients, 6 strains of S. Apatis, 1 strain of S. sonatus and 1 strain of S. multocida were detected. Trauma, environmental exposure, and compromised immunity are common triggers for septoria infection. Direct microscopy specimens were found to have mycelial septum, the positive rate of 100%. Colony growth rate is relatively fast, strong invasiveness, colony morphology varied from white cashmere to black yeast-like samples, with the extension of culture time, starting from the colony center gradually darker, combined with microscopic morphology can be rapid genus Identification. Conclusion The course of infection of Acinetobacter spp. Progressed rapidly and became extremely dangerous. The most common infection was Acinetobacter spp. Streptomyces should strengthen the understanding of the disease, improve the diagnosis and treatment level.