Leukemia & lymphoma · 2004
Vesicles as initial skin manifestation of disseminated fusariosis after non-myeloablative stem cell transplantation.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Hamaki Tamae, Kami Masahiro, Kishi Akiko, Kusumi Eiji, Kishi Yukiko, Iwata Hiroshi, Miyakoshi Shigesaburo, Ueyama Junichi, Morinaga Shinichi, Taniguchi Shuichi, Ohara Kuniaki, Muto Yoshitomo
Аннотация
A 52-year-old man underwent non-myeloablative stem cell transplantation from his HLA identical sister for the treatment of mantle cell lymphoma. On day 0, he developed a high-grade fever, watery diarrhea and vesicles scattered on the skin. Well experienced dermatologists diagnosed these lesions as VZV reactivation. High dose antiviral agents were ineffective, and Fusarium solani was cultured from his stool and sputum. Systemic fusariosis progressed rapidly and he died of multiorgan failure on day 18. It is sometimes difficult to differentiate between viral and fungal blisters based on macroscopic examinations. We recommend early histopathological examination of the skin, when HSCT recipients develop vesicles.