ABSTRACT
A 55-year-old male presented with back pain and slightly tender annular plaques with central ulceration on his face. A skin biopsy revealed scattered yeast with broad based buds. A CT scan of the abdomen revealed a pathologic T12 fracture. Tissue obtained from the spine confirmed budding yeasts. The patient was diagnosed with disseminated blastomycosis. The patient was treated with amphotericin and itraconazole and completely recovered. .
Paciente do sexo masculino, com 55 anos de idade, compareceu ao ambulatório com dores na costa e placas anulares ligeiramente sensíveis, com ulceração central na face. Uma biópsia cutânea revelou levedura disseminada, com brotos de base larga. A tomografia computadorizada do abdômen revelou uma fratura patológica da T12. Amostra de tecido obtido da coluna vertebral confirmou levedura em fase de brotamento. O paciente foi diagnosticado com blastomicose disseminada. Após tratamento com anfotericina e itraconazol, o paciente teve recuperação completa. .
Subject(s)
Humans , Male , Middle Aged , Blastomycosis/pathology , Facial Dermatoses/pathology , Amphotericin B/therapeutic use , Antifungal Agents/therapeutic use , Biopsy , Blastomycosis/drug therapy , Facial Dermatoses/drug therapy , Skin/pathology , Spinal Fractures/diagnosis , Treatment OutcomeABSTRACT
Disseminated blastomycosis is rare in India, particularly in the pediatric population. We discuss the clinical picture, progress and outcome of disseminated blastomycosis in a 4-year-old child. We also present a brief review of the literature focussing on the scenario of blastomycosis in India.
Subject(s)
Amphotericin B/therapeutic use , Anti-Inflammatory Agents/therapeutic use , Antifungal Agents/therapeutic use , Blastomycosis/drug therapy , Blastomycosis/pathology , Child, Preschool , Dexamethasone/therapeutic use , Fatal Outcome , Humans , India , Male , Rural HealthABSTRACT
In a previous study, the authors inoculated Swiss mice with Lacazia loboi (L. loboi) and succeeded in maintaining a granulomatous infiltrate and viable fungal cells up to one year and six months after inoculation. Considering the experimental work on paracoccidioidomycosis, 0.03 ml of a fungal suspension obtained from a biopsy of a Jorge Lobo's Disease patient were inoculated into both hind foot pads of 32 six week-old BALB/c mice of both sexes. The animals were sacrificed 1, 4, 7 and 10 months post inoculation. The suspension contained 1.3 x 10(6) fungi/ml and presented 38 percent viability. Seven months after inoculation, most of the animals presented profuse infiltrates consisting of isolated histiocytes, foreign body and Langhans' giant cells and a large number of fungi, most of them viable. Emergence of macroscopic lesions was observed during the 8th month. Based on fungal count, viability index before and after inoculation, presence of macroscopic lesions and histopathological findings similar to the findings in humans, the authors believe that BALB/c mice may be a good experimental model to study Jorge Lobo's Disease, mainly regarding therapeutic evaluation
Subject(s)
Animals , Male , Female , Mice , Paracoccidioides/growth & development , Blastomycosis/microbiology , Keloid/microbiology , Time Factors , Blastomycosis/pathology , Colony Count, Microbial , Cell Survival , Disease Models, Animal , Keloid/pathology , Mice, Inbred BALB CABSTRACT
Se realiza una descripción histopatológica de las micosis profundas de mayor frecuencia en el Noroeste Argentino, con una pequeña referencia clínica y del medio ambiente en que se desarrollan las mismas