犬咬伤继发孢子丝菌病1例

A case of sporotrichosis secondary to dog bite

报道犬咬伤继发孢子丝菌病1例。患儿,女,5岁。左侧小腿外侧出现数个花生米大小囊肿性暗红色结节1个月余。患儿于2个月前左侧小腿外侧不慎被犬咬伤,当时未予特殊处理,伤口一直未完全愈合。根据患儿病史、症状体征、病理结果、真菌培养及分子鉴定结果明确诊断为孢子丝菌病。口服伊曲康唑胶囊3个月,皮疹较前明显变平缩小,现已停药,仍在随访中。

A case of sporotrichosis secondary to dog bite was reported.Patient,female,5 years old.Several dark red nodules of peanut size appeared on the lateral side of the left lower leg for more than 1 month.The patient was accidentally bitten by a dog on the outside of her left lower leg 2 months ago.According to the patient's history,symptoms and signs,pathological results,fungal culture and molecular identification results,the patient was diagnosed as sporotrichosis.After oral administration of itraconazole capsule for 3 months,the rash became significantly flatter and smaller than before.The drug has been stopped and the case is still being followed up.