We identified 5 Thai patients diagnosed with Trichophyton indotineae infection after screening of patients with culture results consistent with Trichophyton mentagrophytes complex who had negative urease test and confirmed by molecular analysis in DNA sequencing at the internal transcribed spacer region, including abnormalities in the Squalene epoxidase gene in 2 patients, which confirmed the spread of terbinafine resistant dermatophytosis in Thailand.
{"title":"Emergence of resistant dermatophytosis caused by Trichophyton indotineae: First case series in Thailand","authors":"Sutsarun Prunglumpoo , Kunyanut Krongboon , Klaichan intarachaieua , Anzawa Kazushi , Thareena Bunnag , Wattamon Paunrat , Wanchanida komkhong","doi":"10.1016/j.mmcr.2025.100713","DOIUrl":"10.1016/j.mmcr.2025.100713","url":null,"abstract":"<div><div>We identified 5 Thai patients diagnosed with <em>Trichophyton indotineae</em> infection after screening of patients with culture results consistent with <em>Trichophyton mentagrophytes</em> complex who had negative urease test and confirmed by molecular analysis in DNA sequencing at the internal transcribed spacer region, including abnormalities in the Squalene epoxidase gene in 2 patients, which confirmed the spread of terbinafine resistant dermatophytosis in Thailand.</div></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"48 ","pages":"Article 100713"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144240943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We report a case of a 7-month-old female with prolonged high-grade fever unresponsive to broad-spectrum antibiotics and antimalarial drugs. Despite negative cultures and imaging, a Giemsa-stained peripheral blood smear on day 28 revealed yeast cells, suggesting fungal sepsis in the context of prolonged antibiotic exposure and thrombocytopenia. The patient responded well to oral fluconazole, with full clinical recovery. This case underscores the value of peripheral blood smear examination in diagnosing yeast infections in resource-limited settings.
{"title":"Fungal sepsis in a 7-month-old female: diagnosis through peripheral blood smear","authors":"Yihun Bedaso , Tadesse Alemayehu , Amanuel Anegagregn Bizuneh , Dereje Zeleke Haile , Seble Seifu Zeleke , Mekdes Shifeta , Agete Tadewos Hirigo","doi":"10.1016/j.mmcr.2025.100708","DOIUrl":"10.1016/j.mmcr.2025.100708","url":null,"abstract":"<div><div>We report a case of a 7-month-old female with prolonged high-grade fever unresponsive to broad-spectrum antibiotics and antimalarial drugs. Despite negative cultures and imaging, a Giemsa-stained peripheral blood smear on day 28 revealed yeast cells, suggesting fungal sepsis in the context of prolonged antibiotic exposure and thrombocytopenia. The patient responded well to oral fluconazole, with full clinical recovery. This case underscores the value of peripheral blood smear examination in diagnosing yeast infections in resource-limited settings.</div></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"48 ","pages":"Article 100708"},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-08DOI: 10.1016/j.mmcr.2025.100706
Lotte Keikes , Marit S. van Sandwijk , Evert-Jan Kooi , Marieke Gittelbauer , Karin van Dijk
Medicopsis romeroi, a rare brown-pigmented mold, is one of the causes of phaeohyphomycosis, a (sub)cutaneous or soft tissue fungal infection with formation of nodules, cysts or abscesses. Mainly immunocompromised patients are affected, who may experience a wider spectrum of disease with involvement of other tissues, such as the bones or the sinuses. No specific treatment recommendations are available, but surgical excision appears to be the mainstay of treatment, combined with (long-term) antifungal therapy. In this case series, we describe two immunocompromised patients with extensive and persistent skin lesions caused by M. romeroi, and clinical practice recommendations for optimal treatment.
{"title":"Extensive and recurrent infection caused by Medicopsis romeroi in two immunocompromised patients","authors":"Lotte Keikes , Marit S. van Sandwijk , Evert-Jan Kooi , Marieke Gittelbauer , Karin van Dijk","doi":"10.1016/j.mmcr.2025.100706","DOIUrl":"10.1016/j.mmcr.2025.100706","url":null,"abstract":"<div><div><em>Medicopsis romeroi</em>, a rare brown-pigmented mold, is one of the causes of phaeohyphomycosis, a (sub)cutaneous or soft tissue fungal infection with formation of nodules, cysts or abscesses. Mainly immunocompromised patients are affected, who may experience a wider spectrum of disease with involvement of other tissues, such as the bones or the sinuses. No specific treatment recommendations are available, but surgical excision appears to be the mainstay of treatment, combined with (long-term) antifungal therapy. In this case series, we describe two immunocompromised patients with extensive and persistent skin lesions caused by <em>M</em>. <em>romeroi</em>, and clinical practice recommendations for optimal treatment.</div></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"48 ","pages":"Article 100706"},"PeriodicalIF":1.6,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-05-08DOI: 10.1016/j.mmcr.2025.100707
Yuanjiang Zheng , Li Yang , Jianglin Yu , Shanyu Wang , Xianwei Ye
Invasive tracheal mucormycosis is a rare but fatal opportunistic infection, particularly common in immunocompromised patients. This case report describes a 23-year-old female diabetic patient who developed invasive tracheal mucormycosis following a tracheostomy. The mucormycosis infection was brought under control after antifungal therapy and surgical debridement; however, due to multiple contributing factors, the patient subsequently developed myiasis. This case highlights the importance of early diagnosis, aggressive treatment, and proper tracheostomy management in preventing severe complications.
{"title":"Invasive tracheal mucormycosis complicated by myiasis following tracheostomy in a diabetic patient: A case report","authors":"Yuanjiang Zheng , Li Yang , Jianglin Yu , Shanyu Wang , Xianwei Ye","doi":"10.1016/j.mmcr.2025.100707","DOIUrl":"10.1016/j.mmcr.2025.100707","url":null,"abstract":"<div><div>Invasive tracheal mucormycosis is a rare but fatal opportunistic infection, particularly common in immunocompromised patients. This case report describes a 23-year-old female diabetic patient who developed invasive tracheal mucormycosis following a tracheostomy. The mucormycosis infection was brought under control after antifungal therapy and surgical debridement; however, due to multiple contributing factors, the patient subsequently developed myiasis. This case highlights the importance of early diagnosis, aggressive treatment, and proper tracheostomy management in preventing severe complications.</div></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"48 ","pages":"Article 100707"},"PeriodicalIF":1.6,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-25DOI: 10.1016/j.mmcr.2025.100704
Niall Johnston , Bradley Rockliff , Robert Duguid , Pamela Palasanthiran , Adam W. Bartlett , Phoebe CM. Willams , Brendan J. McMullan
Available online We report a case of limb-threatening Lomentospora prolificans elbow infection in a 3-year-old immunocompetent boy following a closed fracture. Resolution of infection was achieved following combined aggressive debridement, combined antifungal therapy, voriconazole-loaded bone cement, and antiseptic joint irrigation. This highlights the need for early diagnosis and multi-modal surgical, medical and other novel adjunctive therapies in managing these difficult-to-treat infections. Increased research and improved access to novel antifungal drugs are essential to enhance treatment options for intrinsically multidrug-resistant fungal infections.
{"title":"Successful management of Lomentospora prolificans septic arthritis and osteomyelitis in an immunocompetent child: A case report","authors":"Niall Johnston , Bradley Rockliff , Robert Duguid , Pamela Palasanthiran , Adam W. Bartlett , Phoebe CM. Willams , Brendan J. McMullan","doi":"10.1016/j.mmcr.2025.100704","DOIUrl":"10.1016/j.mmcr.2025.100704","url":null,"abstract":"<div><div>Available online We report a case of limb-threatening <em>Lomentospora prolificans</em> elbow infection in a 3-year-old immunocompetent boy following a closed fracture. Resolution of infection was achieved following combined aggressive debridement, combined antifungal therapy, voriconazole-loaded bone cement, and antiseptic joint irrigation. This highlights the need for early diagnosis and multi-modal surgical, medical and other novel adjunctive therapies in managing these difficult-to-treat infections. Increased research and improved access to novel antifungal drugs are essential to enhance treatment options for intrinsically multidrug-resistant fungal infections.</div></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"48 ","pages":"Article 100704"},"PeriodicalIF":1.6,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-23DOI: 10.1016/j.mmcr.2025.100703
Kamonchanok Phaopraphat, Rujipas Sirijatuphat
Cryptococcal endophthalmitis is a rare manifestation of cryptococcal infection, typically occurring in immunocompromised patients. In this case report, we present a 50-year-old female with advanced-stage lung cancer with multiple metastases presenting with blurred vision for 10 days. A diagnostic pars plana vitrectomy revealed Cryptococcus neoformans in the vitreous. She was treated with systemic amphotericin B and flucytosine, followed by fluconazole for consolidation and maintenance, along with intravitreal amphotericin B and voriconazole injections. Her visual acuity improved from counting fingers at 2 feet to 3/60, with a pinhole correction of 6/18 after 10 months of treatment.
{"title":"Cryptococcal endophthalmitis in a patient with malignancy: A case report and literature review","authors":"Kamonchanok Phaopraphat, Rujipas Sirijatuphat","doi":"10.1016/j.mmcr.2025.100703","DOIUrl":"10.1016/j.mmcr.2025.100703","url":null,"abstract":"<div><div>Cryptococcal endophthalmitis is a rare manifestation of cryptococcal infection, typically occurring in immunocompromised patients. In this case report, we present a 50-year-old female with advanced-stage lung cancer with multiple metastases presenting with blurred vision for 10 days. A diagnostic pars plana vitrectomy revealed <em>Cryptococcus neoformans</em> in the vitreous. She was treated with systemic amphotericin B and flucytosine, followed by fluconazole for consolidation and maintenance, along with intravitreal amphotericin B and voriconazole injections. Her visual acuity improved from counting fingers at 2 feet to 3/60, with a pinhole correction of 6/18 after 10 months of treatment.</div></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"48 ","pages":"Article 100703"},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-31DOI: 10.1016/j.mmcr.2025.100702
Jay Krishnan, Manuela Carugati, Rachel A. Miller, Cameron R. Wolfe, John R. Perfect, Julia A. Messina
Donor-derived invasive fungal infections among solid organ transplant recipients are rare but sometimes devastating events associated with notable morbidity and mortality. Here we describe two donor-derived fungal infections – one Candida parapsilosis complex infection and one Aspergillus fumigatus infection – that occurred among heart transplant recipients at a quaternary care center. Both recipients survived their infections, though with substantial morbidity despite aggressive surgical intervention and antifungal therapy.
{"title":"The tell-tale hearts: Donor-derived invasive fungal infections among orthotopic heart transplant recipients","authors":"Jay Krishnan, Manuela Carugati, Rachel A. Miller, Cameron R. Wolfe, John R. Perfect, Julia A. Messina","doi":"10.1016/j.mmcr.2025.100702","DOIUrl":"10.1016/j.mmcr.2025.100702","url":null,"abstract":"<div><div>Donor-derived invasive fungal infections among solid organ transplant recipients are rare but sometimes devastating events associated with notable morbidity and mortality. Here we describe two donor-derived fungal infections – one <em>Candida parapsilosis</em> complex infection and one <em>Aspergillus fumigatus</em> infection – that occurred among heart transplant recipients at a quaternary care center. Both recipients survived their infections, though with substantial morbidity despite aggressive surgical intervention and antifungal therapy.</div></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"48 ","pages":"Article 100702"},"PeriodicalIF":1.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cryptococcosis is an opportunistic mycosis caused by Cryptococcus, mainly affecting the immunocompromised. We report a case of pulmonary cryptococcosis within a 31-year-old immunocompetent patient admitted for painful chest swelling evolving for 4 months prior to admission. The chest X-Ray showed a rounded pulmonary opacity. The chest ultrasound revealed a pulmonary abscess diffusing under the skin. Direct examination using the Indian ink and the May-Grunwald Giemsa staining revealed encapsulated yeasts in the pus. The Culture of the pus on the Sabouraud medium with chloramphenicol confirmed the presence of Cryptococcus neoformans. Cryptococcal antigen was positive. This case reminds us that cryptococcosis should be considered even without immunosuppression.
{"title":"A fatal case of pulmonary cryptococcosis in an apparently immunocompetent patient from Cote D′ Ivoire","authors":"Ahou Sandrine Konan , Kalou Dibert Zika , Affoué Sandrine Josette Kouakou , Appi Sandrine Kouamé , Malick Senanminfoun Soro , Koffi Daho Adoubryn","doi":"10.1016/j.mmcr.2025.100701","DOIUrl":"10.1016/j.mmcr.2025.100701","url":null,"abstract":"<div><div>Cryptococcosis is an opportunistic mycosis caused by <em>Cryptococcus</em>, mainly affecting the immunocompromised. We report a case of pulmonary cryptococcosis within a 31-year-old immunocompetent patient admitted for painful chest swelling evolving for 4 months prior to admission. The chest X-Ray showed a rounded pulmonary opacity. The chest ultrasound revealed a pulmonary abscess diffusing under the skin. Direct examination using the Indian ink and the May-Grunwald Giemsa staining revealed encapsulated yeasts in the pus. The Culture of the pus on the Sabouraud medium with chloramphenicol confirmed the presence of <em>Cryptococcus neoformans</em>. Cryptococcal antigen was positive. This case reminds us that cryptococcosis should be considered even without immunosuppression.</div></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"48 ","pages":"Article 100701"},"PeriodicalIF":1.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-18DOI: 10.1016/j.mmcr.2025.100700
Asmus Tukundane, Richard Kwizera, Lillian Tugume, Jayne Ellis, David R. Boulware, David B. Meya
Cryptococcal meningitis is one of the major causes of death in sub-Saharan Africa among individuals with advanced HIV, and it is typically diagnosed through lumbar puncture (LP). However, LP may be contraindicated in some cases, causing a clinical dilemma and potential delay in treatment. We present the case of a 60-year-old female, newly diagnosed with HIV, who presented with a reduced level of consciousness and a positive serum cryptococcal antigen (CrAg) test (high titer = 1:320). Computerized tomographic (CT) brain imaging showed multiple nodular lesions, peri-lesional edema and a midline shift. Despite the contraindication for LP, a low volume lumbar puncture (1–2 mL) was performed in view of the elevated serum CrAg titers and patient's clinical symptoms, in order to rule in a definitive diagnosis of cryptococcal meningitis or exclude tuberculous meningitis. The patient was treated for cryptococcal meningitis and responded well. In patients with a positive serum CrAg test and contraindications to LP, an elevated titer (>1:160) and neurological symptoms may guide the initiation of definitive treatment for cryptococcal meningitis, however further evaluation is needed.
{"title":"The diagnostic role of elevated serum cryptococcal antigen titers in patients with suspected cryptococcal meningitis when lumbar puncture is contraindicated: A case report","authors":"Asmus Tukundane, Richard Kwizera, Lillian Tugume, Jayne Ellis, David R. Boulware, David B. Meya","doi":"10.1016/j.mmcr.2025.100700","DOIUrl":"10.1016/j.mmcr.2025.100700","url":null,"abstract":"<div><div>Cryptococcal meningitis is one of the major causes of death in sub-Saharan Africa among individuals with advanced HIV, and it is typically diagnosed through lumbar puncture (LP). However, LP may be contraindicated in some cases, causing a clinical dilemma and potential delay in treatment. We present the case of a 60-year-old female, newly diagnosed with HIV, who presented with a reduced level of consciousness and a positive serum cryptococcal antigen (CrAg) test (high titer = 1:320). Computerized tomographic (CT) brain imaging showed multiple nodular lesions, peri-lesional edema and a midline shift. Despite the contraindication for LP, a low volume lumbar puncture (1–2 mL) was performed in view of the elevated serum CrAg titers and patient's clinical symptoms, in order to rule in a definitive diagnosis of cryptococcal meningitis or exclude tuberculous meningitis. The patient was treated for cryptococcal meningitis and responded well. In patients with a positive serum CrAg test and contraindications to LP, an elevated titer (>1:160) and neurological symptoms may guide the initiation of definitive treatment for cryptococcal meningitis, however further evaluation is needed.</div></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"48 ","pages":"Article 100700"},"PeriodicalIF":1.6,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-07DOI: 10.1016/j.mmcr.2025.100699
Estacio Mayra , Reino Alberto , Rodelo Joaquin , Ustariz Jose
Fungal peritonitis in peritoneal dialysis (PD) patients is rare but is associated with high morbidity and mortality. Candida species are the most common causative agents, but infections caused by unusual, often “nonpathogenic,” fungi are being increasingly reported. Hyphopichia burtonii is typically associated with food spoilage and has rarely been reported in human infections.
We describe the case of a 44-year-old female with end-stage renal disease on continuous ambulatory peritoneal dialysis (CAPD) who developed peritonitis caused by Hyphopichia burtonii. Following the identification of the fungus, the patient was put on hemodialysis, the peritoneal dialysis catheter was removed, and he was given fluconazole for two weeks having favorable clinical development.
{"title":"Fungal peritonitis in a patient on peritoneal dialysis caused by Hyphopichia burtonii: A rare pathogen in human infection","authors":"Estacio Mayra , Reino Alberto , Rodelo Joaquin , Ustariz Jose","doi":"10.1016/j.mmcr.2025.100699","DOIUrl":"10.1016/j.mmcr.2025.100699","url":null,"abstract":"<div><div>Fungal peritonitis in peritoneal dialysis (PD) patients is rare but is associated with high morbidity and mortality. <em>Candida</em> species are the most common causative agents, but infections caused by unusual, often “nonpathogenic,” fungi are being increasingly reported. <em>Hyphopichia burtonii</em> is typically associated with food spoilage and has rarely been reported in human infections.</div><div>We describe the case of a 44-year-old female with end-stage renal disease on continuous ambulatory peritoneal dialysis (CAPD) who developed peritonitis caused by <em>Hyphopichia burtonii</em>. Following the identification of the fungus, the patient was put on hemodialysis, the peritoneal dialysis catheter was removed, and he was given fluconazole for two weeks having favorable clinical development.</div><div>2012 Elsevier Ltd. All rights reserved.</div></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"48 ","pages":"Article 100699"},"PeriodicalIF":1.6,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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