中国真菌学杂志2018,Vol.13Issue(6):357-360,4.
误诊为转移癌的红色毛癣菌肉芽肿1例
A case of Majocchi granuloma misdiagnosed as cutaneous metastasis clinically
摘要
Abstract
A clinically misdiagnosed metastatic tumor case, definitely diagnosed as granuloma caused by Trichophyton rubrumthrough histopathology, Mycological examination, molecular biological analysis, was reported.A 65-year-old woman presented with erythema, papules and nodules on the right forearm for three months.Physical examination showed erythema, papules and small nodules, some of which merged into annular plaque.Biopsy of one small nodule was done and histopathology demonstrated granuloma involving the follicle in the dermis, with spores and hyphae inside.Tissue culture and molecular biological test turned out to be Trichophyton rubrum.The final diagnosis was Majocchi granuloma caused by Trichophyton rubrum.The patient was treated with oral itraconazole, 0.2g bid for five weeks and 0.2g qd for 7weeks, with a complete resolution, negative of mycology and no relapse during a half-year following.关键词
红色毛癣菌/Majocchi肉芽肿/伊曲康唑Key words
Trichophyton rubrum/Majocchi granuloma/itraconazole分类
医药卫生引用本文复制引用
吴琼,钱骋风,高志琴,鞠强,杨连娟,蔡晴..误诊为转移癌的红色毛癣菌肉芽肿1例[J].中国真菌学杂志,2018,13(6):357-360,4.基金项目
国家自然科学基金 (81602770, 81573063) (81602770, 81573063)
上海市卫计委课题 (20164Y0248) (20164Y0248)