Caso para diagnóstico

Ferreira, Leonardo F.; Pereira, Rodrigo Araujo

doi:10.1590/s0365-05962006000300013

Cited by 5 publications

(6 citation statements)

References 2 publications

(6 reference statements)

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“…10 The Exophiala jeanselmei species is a etiological agent typically found in the cystic form of subcutaneous phaeohyphomycosis, the infection often resulting from direct inoculation following trauma, a cut or wound contaminated by soil, foliage, plants or decomposing wood. 1,3,4 During his work in the vegetable patch, the patient had a habit of scratching his inguinal region and scrotum without first washing his hands or using protective gloves. In doing so, he may have broken the skin, thus facilitating inoculation of the fungus.…”

Section: Discussionmentioning

confidence: 99%

“…1,3,13 Terbinafine alone has also been shown to be useful in the treatment of refractory subcutaneous infection, which may suggest future standardization of its use in combination with other antifungal agents. 8,13 The lesions may also be treated surgically.…”

Section: Discussionmentioning

confidence: 99%

“…8,13 The lesions may also be treated surgically. 1 Some authors propose Mohs micrographic surgery as an effective therapeutic option, this constituting an alternative to the prolonged, expensive pharmacological treatments that require laboratory follow-up. An additional benefit is the minimal tissue loss with surgical removal of the lesions.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] The disease is rare, cosmopolitan and generally affects rural populations in tropical regions of Central and South America, with a higher incidence in immunocompromised patients. 3,4 The authors report a case of subcutaneous phaeohyphomycosis in an immunocompetent patient in whom the infection was located at an unusual site, on the left hemiscrotum.…”

Section: Introductionmentioning

confidence: 99%

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Feo-hifomicose subcutânea por Exophiala jeanselmei localizada na bolsa escrotal: relato de caso

Rossetto¹,

Dellatorre²,

Pérsio³

et al. 2010

An. Bras. Dermatol.

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Subcutaneous phaeohyphomycosis is a disease caused by dematiaceous fungi that develops mainly in immunocompromised patients. Lesions are generally located on the lower limbs. The present report describes a case of phaeohyphomycosis in an immunocompetent patient in whom a subcutaneous abscess was located in an unusual site, on the left hemiscrotum. The abscess was treated successfully with oral fluconazole associated with surgical excision. Keywords: Dermatomicoses; Exophiala; Fluconazole; Mycoses; Scrotum Resumo: A feo-hifomicose subcutânea é uma doença causada por fungos demáceos que acomete principalmente indivíduos imunocomprometidos e geralmente cursa com lesões localizadas nos membros inferiores. Os autores relatam um caso de feo-hifomicose subcutânea em um paciente imunocompetente, com localização atípica -na hemibolsa escrotal esquerda -, tratado com sucesso com fluconazol sistêmico associado à excisão cirúrgica.

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“…Phaeohyphomycosis is the term used to describe infection caused by various species of dematiaceous fungi with blackish pigment, especially of the genera Wangiella , Alternaria and Exophiala. 1 , 2 , 3 …”

Section: Introductionmentioning

confidence: 99%

Phaeohyphomycosis infection in the knee

Sadigursky¹,

Ferreira²,

Corrêa³

2016

Revista Brasileira de Ortopedia (English Edition)

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Phaeohyphomycosis is caused by cutaneous fungi and rarely affects large joints. This is a case report on phaeohyphomycosis in the left knee of an elderly individual without immunosuppression. It was accompanied by pain and swelling the anterior knee. The case was first suspected to be suprapatellar bursitis, and was treated with nonsteroidal anti-inflammatory drugs, without remission of symptoms. Surgical treatment was performed, with resection of the suprapatellar bursa and anterior region of the quadriceps tendon. The material was sent for anatomopathological examination and culturing. The pathological examination showed phaeohyphomycosis. The treatment instituted consisted of itraconazole, 200 mg/day for six weeks, and complete remission of symptoms was achieved. The physical examination remained normal after one year of follow-up. This is the first published case of phaeohyphomycosis infection in the suprapatellar region of the knee. Although almost all the cases reported have been associated with immunosuppressed patients, this was an exception. It is important to suspect phaeohyphomycosis in cases of knee infection, in the area of the suprapatellar bursa, when the symptoms do not resolve after clinical treatment.

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Caso para diagnóstico

Cited by 5 publications

References 2 publications

Feo-hifomicose subcutânea por Exophiala jeanselmei localizada na bolsa escrotal: relato de caso

Phaeohyphomycosis infection in the knee

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