肾移植患者的Madura足:1例报告。

NDT Plus Pub Date : 2011-12-01 DOI:10.1093/ndtplus/sfr109
Grégory Callebaut, Luc Hooghe, Max Dratwa
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引用次数: 3

摘要

一名40岁男性肾移植受者因右脚慢性脓肿免疫抑制而住院治疗。病人来自吉布提,在比利时待了几天。患者表现为右脚第一跖趾关节肿胀,已被撕除(图1和2),并使用各种局部防腐剂自行治疗数月,但无效。他在手术室通过足底和背部入路进行开放性活检以确认真菌感染。由于病变进展良好,治疗未以口服伊曲康唑开始。几天后疼痛减轻,几周后病人就能走路了。
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Madura's foot in a renal transplant patient: report of a case.

A 40-year-old kidney transplant male recipient was hospitalized for chronic abscess of the right foot in a context of immunodepression. The patient came from Djibouti and was in Belgium for a few days. He presented a right foot with a swelling localized on the first metatarsophalangeal joint which was excoriated (Figures 1 and 2) and was self-treated ineffectively with various local antiseptics for several months. He was in the operating room for an open biopsy done by plantar and dorsal approach to confirm the fungal infection. Treatment was not started with oral itraconazole because of the good evolution of the lesion. Pain diminished after a few days, and the patient was able to walk after a few weeks.

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