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Dematiaceous Subcutaneous Mycosis of the Hand

手部的黑色素黴菌感染

摘要


皮下的黴菌感染在手部是不常見的,而且通常好發於免疫能力較不健全者。感染的方法通常是經由帶有黴菌的土壤或植物,經由穿透性的外傷到達宿主。經過發炎反應,皮下可能出現囊腫。手外科醫師在面臨手部腫瘤的病人時,還是需要把黴菌感染與其他疾病做一鑑別診斷來達到一個沒有併發症的外科治療。我們報告一個黑色素黴所引起的手部感染,成功地接受外科治療。並對其臨床經過討論。

並列摘要


Subcutaneous mycosis may appear as nodular lesions on the hand and, although relatively uncommon, it appears to the hand surgeon sufficiently often to justify requiring its consideration in differential diagnoses of hand infections and tumors. Nodular subcutaneous mycosis of the hand is not lethal. However, not recognizing the possibility of fungal infection when dealing with hand disorders can lead to many unpleasant results. This article presents a patient afflicted with nodular lesions on the dorsum of the hand, from which dematiaceous agents were detected on mycotic culture. The nodular lesions were successfully treated by surgical excision.

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