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首页> 外文期刊>Journal of hand and microsurgery >Deep Invasive Fungal Infection of the Hand in a Child Mimicking a Local Gigantism
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Deep Invasive Fungal Infection of the Hand in a Child Mimicking a Local Gigantism

机译:在模仿当地胶束的孩子中,手中的侵入性真菌感染

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Subcutaneous and deep fungal infections in the hand are rare among children. These are usually found in immunocompromised adults or in persons engaged in soil handling activities, due to direct exposure, especially in the tropics. Delay in diagnosis is usual because pyogenic and other granulomatous infections are considered first. The authors present the case of a healthy, immunocompetent 2V$-year-old child who presented with progressive swelling of the right hand mimicking a localized gigantism of the entire hand. Multiple operative drainage procedures done previously had failed to resolve the condition. A biopsy established the presence of fungal hyphae, thus confirming the diagnosis of deep fungal infection of the hand and guided proper therapeutic intervention. A strong index of suspicion needs to be maintained in cases not responding to conventional antibacterial therapy, and both microbiologic and his-topathologic samples need to be obtained to establish the diagnosis.
机译:手中的皮下和深的真菌感染是罕见的儿童。 由于直接暴露,尤其是在热带地区,这些通常在免疫表明成年人或从事土壤处理活动的人员中发现。 由于先前考虑了柔软素和其他肉芽肿感染,常规诊断延迟。 作者呈现出健康的免疫活力度2V新儿童的情况,他们呈现出右手的渐进肿胀,模仿整个手的局部胶像。 完成的多种操作排水程序以前未能解决条件。 一种活组织检查确定了真菌菌丝的存在,从而证实了诊断了手的深度真菌感染和指导适当的治疗干预。 在没有响应常规抗菌治疗的情况下需要维持强烈的怀疑指数,并且需要获得微生物和他的拓扑样本来确定诊断。

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