CASE-REPORT AND REVIEW OF RESOLVED FUSARIOSIS

被引：41

作者：

HELM, TN

LONGWORTH, DL

HALL, GS

BOLWELL, BJ

FERNANDEZ, B

TOMECKI, KJ

机构：

[1] CLEVELAND CLIN FDN,DEPT INFECT DIS,CLEVELAND,OH 44195

[2] CLEVELAND CLIN FDN,DEPT MICROBIOL,CLEVELAND,OH 44195

[3] CLEVELAND CLIN FDN,DEPT HEMATOL ONCOL,CLEVELAND,OH 44195

[4] CLEVELAND CLIN FDN,DEPT INTERNAL MED,CLEVELAND,OH 44195

来源：

JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY | 1990年 / 23卷 / 02期

关键词：

D O I：

10.1016/0190-9622(90)70231-6

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

Erythematous macules, nonpalpable and palpable purpura, and flaccid pustules developed in a 59-year-old man with acute lymphocytic leukemia 8 days after reinduction chemotherapy with cytosine arabinoside and daunorubicin. Tissue and blood cultures grew Fusarium proliferatum, and a skin biopsy specimen revealed fungal vasculitis. Anemia and muscle weakness accompanied the disseminated infection, for which the patient received granulocyte transfusions and amphotericin B, ketoconazole, rifampin, and griseofulvin. Skin lesions and fungemia resolved with recovery of the bone marrow, and 51 days after the completion of his chemotherapy he returned home. If promptly recognized and aggressively treated, disseminated fusariosis is responsive to therapy. Infection with Fusarium species should be suspected in profoundly neutropenic patients in whom disseminated palpable purpura and myositis develop concomitantly. © 1990, All rights reserved.

引用

页码：393 / 398

页数：6

共 35 条

[21] DISSEMINATED FUSARIUM-SOLANI INFECTION WITH CUTANEOUS NODULES IN A BONE-MARROW TRANSPLANT PATIENT [J].