母女二人共患万博节皮菌所致皮肤癣菌病  

Arthroderma vanbreuseghemii infection in two familial cases with tinea capitis and tinea corporis

作　　者：郭艳琼 李红宾[1] 黄云丽[1] 雷皓雪 金鑫 董天祥[1] GUO Yanqiong;LI Hongbin;HUANG Yunli;LEI Haoxue;JIN Xin;DONG Tianxiang(Department of Dermatology,The First Affiliated Hospital of Kunming Medical University,Kunming 650000,China;Department of Ultrasound,The First Affiliated Hospital of Kunming Medical University,Kunming 650000,China)

机构地区：[1]昆明医科大学第一附属医院皮肤性病科,昆明650000 [2]昆明医科大学第一附属医院超声科,昆明650000

出　　处：《中国真菌学杂志》2023年第6期534-537,共4页Chinese Journal of Mycology

基　　金：云南省科技厅科技计划重点项目(202101AY070001-022);云南省高层次人才培养支持计划名医专项后续支持项目(YNWR-MY-2019-026)。

摘　　要：病例1,女,2岁,头皮、腹部、上肢丘疹、脓疱、结节伴痒半个月;病例2,女,35岁,右下颌丘疹、红斑1周,病例2为病例1的母亲。病例1断发、腹部、右上肢皮损和病例2皮损真菌镜检、培养及分子生物学测序均鉴定为万博节皮菌。病例1密切接触过猫和兔。病例1诊断为万博节皮菌所致脓癣、体癣;病例2诊断为万博节皮菌所致体癣。病例1予口服醋酸泼尼松2周,口服特比萘芬4个月,渗出期用高锰酸钾溶液湿敷,酮康唑洗剂外用后外搽萘替芬酮康唑乳膏治愈;病例2予萘替芬酮康唑乳膏外搽治疗后痊愈。Case 1 was a two-year-old girl with papules,pustules and nodules with itching on scalp,abdomen and upper limbs for half a month.Case 2 was a 35-year-old woman with papules and erythema on right mandible for 1 week.Case 2 is case1’Smother.The pathogenic strains of them were identified as Arthroderma vanbreuseghemii.Case 1 had close contact with cat and rabbit.Diagnosis:①tinea suppurativa and tinea corporis due to Arthroderma vanbreuseghemii(case 1);②tinea corporiS(case 2).The lesion of case 1 was cured by oral prednisone acetate tablets for two weeks,oral terbinafine for four months,exudate period with external application of potassium permanganate solution,and topical 1%naftifine/0.25%ketoconazole cream after after a topical wash with ketoconazole shampoo.Case-2 were cured after topical 1%naftifine/0.25%ketoconazole cream.

关 键 词：万博节皮菌 脓癣 体癣 特比萘芬 

分 类 号：R756.1[医药卫生—皮肤病学与性病学] R756.2[医药卫生—临床医学]