Vzácná invazivní fungální infekce Mucor circinelloides a Fusarium u imunokompetentního pacienta po devastačním poranění dolní končetiny s rekonstrukcí volným lalokem m. latissimus dorsi

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Autori: J. Holoubek ^1,2; M. Knoz ^1,2,3; B. Lipový ^1,2; J. Bartošková ¹; I. Kocmanová ⁴; M. Hanslianová ⁴; M. Krtička ^2,5; T. Kubek ^2,3
Pôsobisko autorov: Department of Burns and Plastic Surgery, University Hospital Brno, Czech Republic ¹; Faculty of Medicine, Masaryk University Brno, Czech Republic ²; Department of Plastic and Aesthetic Surgery, St. Ann‘s University Hospital, Brno, Czech Republic ³; Department of Clinical Microbiology, University Hospital Brno, Czech Republic ⁴; Department of Traumatology, University Hospital Brno, Czech Republic ⁵
Vyšlo v časopise: Epidemiol. Mikrobiol. Imunol. 69, 2020, č. 2, s. 81-86
Kategória:

Súhrn

V současné době patří rekonstrukce volným lalokem k zlatému standardu léčby devastačních poranění dolní končetiny. Jedním z hlavních faktorů přímo ovlivňujících úspěšnost léčby je riziko infekčních komplikací. Kolonizace a následná infekce vláknitými houbami patří i v dnešní době v případě imunokompetentních pacientů k raritně se vyskytujícím. Jejich nízký výskyt je nicméně kompenzován fulminantním a často podceňovaným průběhem. Charakteristickými rysy je rychlá lokální destrukce tkáně, která spolu se silným angio-invazivním potenciálem snadno vede k diseminaci do organismu. V této případové studii prezentujeme případ devastačního poranění dolní končetiny, kde bylo k záchraně končetiny využito přenosu volného svalu latissimus dorsi. Stav byl dále komplikován v důsledku invazivní infekce vláknitými houbami zástupci Mucor circinelloides a Fusarium. V závěrečné části článku se rovněž stručně věnujeme výskytu podobných případů v literatuře v podobě krátkého literárního review.

Klíčová slova:

vláknité houby – infekce – volný sval – rekonstrukce

Zdroje

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