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Title: Vascular Pythiosis of the Lower Extremity in Northern Thailand: Ten Years Experience
Authors: Termpong Reanpang
Saritphat Orrapin
Saranat Orrapin
Supapong Arworn
Thanate Kattipatanapong
Tanop Srisuwan
Nongnuch Vanittanakom
Suree P. Lekawanvijit
Kittipan Rerkasem
Keywords: Medicine
Issue Date: 1-Jan-2015
Abstract: © SAGE Publications. Pythiosis is a disease caused by Pythium insidiosum, a fungus-like organism. P. insidiosum is pathogenic in mammals, particularly in horses, dogs, and humans. Human pythiosis can be classified into 4 types: (1) cutaneous/subcutaneous, (2) ocular, (3) vascular, and (4) disseminated pythiosis. Vascular pythiosis is a rare disease but a serious limb- and life-threatening infection. We reviewed 22 cases over a 10-year period in Maharaj Nakorn Chiang Mai/Chiang Mai University Hospital. The survival rate was around 63.6% during our follow-up period. The only effective treatment was complete excision of the infected tissue, which was done mainly by major amputation, such as above-knee amputation. This report raises awareness of this disease, which needs preemptive diagnosis and appropriate treatment.
ISSN: 15526941
Appears in Collections:CMUL: Journal Articles

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