Cov tawv nqaij raug mob ntawm blastomycosis

Thaum raug mob ntawm daim tawv nqaij ntawm tus mob blastomycosis yog lub tsos mob ntawm kev kis tus mob nrog fungus Blastomyces dermatitidis. Cov tawv nqaij kis tau thaum tus kab mob kis thoob plaws hauv lub cev. Lwm hom blastomycosis tsuas yog ntawm daim tawv thiab feem ntau nws zoo dua nws tus kheej nrog lub sijhawm. Kab lus no hais txog kev kis mob sib kis ntau tshaj plaws.

Blastomycosis yog yam mob tsis tshua muaj mob fungal. Nws yog feem ntau pom muaj nyob hauv:

• Teb chaws Africa
• Canada, ncig ntawm Great Lakes
• Qab teb nruab nrab thiab nruab nrab hauv Tebchaws Meskas
• Is Nrias teb
• Ixayees
• Saudi Arabia

Ib tus neeg kis tau los ntawm kev ua pa ntawm cov kab mob ntawm cov fungus uas pom hauv cov av noo, tshwj xeeb tshaj yog qhov chaw muaj nroj tsuag lwj. Cov neeg uas lub nruab nrog cev tiv thaiv kab mob hauv lub cev muaj kev pheej hmoo siab rau tus kab mob no, txawm hais tias cov neeg noj qab haus huv tseem tuaj yeem tsim tus kabmob no.

Cov fungus nkag mus rau hauv lub cev los ntawm lub ntsws thiab kis rau lawv. Hauv qee tus neeg, lub fungus tom qab kis (sib kis) rau lwm thaj chaw ntawm lub cev. Cov mob yuav cuam tshuam rau daim tawv nqaij, pob txha thiab pob qij txha, chaw mos thiab mob txeeb zig, thiab lwm cov kab ke. Cov tsos mob ntawm daim tawv nqaij yog cov cim qhia ntawm kev kis (blastiacosis).

Hauv ntau tus neeg, cov tsos mob ntawm daim tawv nqaij nthuav dav thaum kis tau zoo dhau ntawm lawv lub ntsws.

Papules, pustules, los yog nodules feem ntau pom ntawm thaj tsam raug lub cev.

• Lawv yuav zoo li pob cos lossis mob txhab.
• Lawv feem ntau tsis mob.
• Lawv yuav txawv ntawm grey los yog violet hauv cov xim.

Lub pustules yuav:

• Daim ntawv mob txhab
• Bleed yooj yim
• Muaj tshwm sim hauv lub qhov ntswg lossis qhov ncauj

Ua haujlwm dhau sijhawm, cov tawv nqaij tawv nqaij tuaj yeem ua rau ua pob liab vog thiab ploj xim (tawv xim).

Tus kws kho mob yuav kuaj koj cov tawv nqaij thiab nug txog cov tsos mob.

Kev kis tus kab mob yog kuaj tau los ntawm kev txheeb xyuas cov pwm hauv cov kab lis kev cai los ntawm daim tawv nqaij mob. Qhov no feem ntau yuav tsum siv daim tawv nqaij theej.

Tus kab mob no yog kho nrog cov tshuaj tiv thaiv kev tiv thaiv kab mob xws li amphotericin B, itraconazole, ketoconazole, lossis fluconazole. Siv tshuaj noj ntawm qhov ncauj lossis leeg ntshav (ncaj qha rau hauv cov hlab ntsha) tshuaj siv, nyob ntawm cov tshuaj thiab theem ntawm tus kab mob.

Koj zoo npaum li cas yog nyob ntawm daim ntawv ntawm blastomycosis thiab ntawm koj lub cev tiv thaiv kab mob. Cov neeg mob lub cev tsis muaj zog tiv thaiv kab mob tej zaum yuav tsum tau kho mob mus ntev kom tiv thaiv cov tsos mob kom rov zoo tuaj.

Teeb meem yuav suav nrog:

• Abscesses (hnab ris ntawm pus)
• Lwm qhov (kab mob thib ob) kis kab mob ntawm daim tawv nqaij los ntawm cov kab mob
• Cov teeb meem ntsig txog tshuaj (piv txwv li, amphotericin B tuaj yeem muaj kev phiv loj heev)
• Spontaneously txhuav nodules
• Kev mob hnyav thoob plaws lub cev thiab tuag

Qee qhov teeb meem ntawm daim tawv nqaij los ntawm blastomycosis tuaj yeem zoo ib yam li cov teeb meem ntawm daim tawv nqaij los ntawm lwm yam mob. Qhia rau koj tus kws kho mob yog tias koj muaj teeb meem kev txhawj xeeb ntawm daim tawv nqaij.

Embil JM, Vinh DC. Blastomycosis. Hauv: Kellerman RD, Rakel DP, eds. Conn's Kev Kho Mob Tam Sim No 2021Cov. Philadelphia, PA: Elsevier; 2021: 856-860.

Gauthier GM, Klein BS. Blastomycosis. Hauv: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, thiab Bennett's Cov Ntsiab Cai thiab Kev Coj Ua ntawm Kab Mob KisCov. 9le ed. Philadelphia, PA: Elsevier; 2020: tshooj 264.

Kauffman CA, Galgiani JN, R George T. Qhov mob mycoses. Hauv: Goldman L, Shafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 316.