孢子丝菌病43例临床分析

目的 探讨孢子丝菌病的发病原因及特点。方法 就1991～2002年间在本院就诊的深部真菌病病例，利用沙氏真菌学检查方法筛查确诊为孢子丝菌病43例并进行临床观察。结果 1991—1993年患者5例（11．63％），1994～1996年水灾后2年内患者34例（79．07％），1997～2002年5年内患者4例（9．30％）。有明显外伤史及疑似蚊、蜂叮螫者占总发病人数72．09％。伴高血压者占20．93％。碘化钾治愈率100％。结论 各种原因造成的环境污染或某些自然灾害致使腐生菌大量生长繁殖是引起本病区域性流行的根本原因。外伤及昆虫叮、螫为重要致病条件。碘化钾为首选治疗药物。

Sporotrichosis: clinical analysis of 43 cases

Objective To investigate the pathogenic cause and characters of sporotrichosis. Method Fouty-three cases of sporotrichosis during 1991 -2002 was reviewed clinically. Results Five cases was confirmed during 1991 - 1993,34 during 1994 - 1996 after flooding in 1994 ,only 4 during the next 8 years. Injury history or sting was confirmed in 72.09% of all the patients. KI is effective for all patients. Conclusion Environmental pollution or natural disaster could be an reason for the epidemics of sporotrichosis. KI is the first choice of treatment.