Abstract:
Botryomycosis is a rare chronic suppurative infection characterised by a granulomatous inflammatory response to bacterial pathogens. Among the two forms, the visceral form is an even rarer finding that mainly affects the lungs and whose main causative agents are Staphylococcus aureus and Pseudomonas aeruginosa, although many other non-filamentous bacteria have been identified. Here, we present a case of primary pulmonary botryomycosis, which to our knowledge is the first case of this type reported in Mexico. In addition, we review the 18 cases of primary pulmonary botryomycosis reported in the literature, where we focus on evaluating the clinical characteristics, predisposing factors, causative agents and treatments used in these patients. This helps physicians to improve the differential diagnosis of this disease.
摘要:
葡萄霉菌病是一种罕见的慢性化脓性感染,其特征是对细菌病原体的肉芽肿性炎症反应。在这两种形式中,内脏形式是一个更罕见的发现,主要影响肺部,其主要病原体是金黄色葡萄球菌和铜绿假单胞菌,尽管已经鉴定出许多其他非丝状细菌。这里,我们介绍了一例原发性肺细菌菌病,据我们所知,这是墨西哥报道的首例此类病例。此外,我们回顾了文献报道的18例原发性肺菌病,我们专注于评估临床特征,诱发因素,这些患者使用的病原体和治疗方法。这有助于医生改善这种疾病的鉴别诊断。