RESUMEN
Um eqüino de nove anos de idade apresentou ausência de ar expirado e secreção serossanguinolenta na narina direita, associado a ruído respiratório. Os exames endoscópico e radiológico mostraram uma formação de aproximadamente seis centímetros de diâmetro recoberta por mucosa amarelada, que obstruía a cavidade nasal direita e insinuava-se para a cavidade nasal esquerda. Tal massa foi ressecada por meio de sinusotomia frontal direita. O exame histológico e a cultura revelaram lesão granulomatosa causada por fungos. O tratamento pós-operatório compreendeu associação de antibiótico e antiinflamatório, assim como de lavagens com água destilada e chá de camomila.
A 9-year-old horse presented serosanguineous nasal discharge, absence of breath out through the right nostril, and respiratory noise. Endoscopic and radiographic exams revealed a six centimeter diameter mass, covered by yellowish mucosa, which was obstructing the entire right nasal cavity and part of the left one. The mass was excised through a right frontal sinusotomy. The microscopic exam and the culture revealed a fungic granulomatous rhinitis. Antibiotic and anti-inflammatory drugs were postoperatively administered; moreover, camomile tea and distilled water were flushed in a drain placed above the bone flap.
Asunto(s)
Animales , Antibacterianos , Antiinflamatorios , Aspergilosis , Aspergillus , Criptococosis , Equidae , Granuloma del Sistema RespiratorioRESUMEN
AIM: To report one case of huge fungal granuloma in the deep maxillofacial region with its clinical findings,diagnosis and treatment process to improve our understanding of fungal granuloma and lessen misdiagnosis.METHODS: The literature was reviewed with combination of case report.RESULTS: The clinical and imaging findings of fungal granuloma had no specificity and were very subject to misdiagnosis. Confirmed diagnosis needed histopathological examination and bacterial culture.CONCLUSION: Deepened understanding of this disease can decrease misdiagnosis and benefit prompt and proper treatment.
RESUMEN
We report a patient with an unusual manifestation of Trichophyton rubrum infection. A 75-year-old male presented an erythematous patch with painless crusted and non-crusted nodules on the left elbow which had persisted for 5 weeks. Histologic findings of the erythematous nodule showed epidermal hyperplasia and granulomatous change in the lower dermis. Trichophyton rubrum was isolated on the fungus culture of the biopsy specimen. The patient was treated with itraconazole (100mg/day) for 8 weeks, resulting in the clearing of the skin lesion and there has been no recurrence of any skin lesion over a 3-month' follow-up period.
Asunto(s)
Anciano , Humanos , Masculino , Biopsia , Dermis , Codo , Estudios de Seguimiento , Hongos , Granuloma , Hiperplasia , Itraconazol , Recurrencia , Piel , TrichophytonRESUMEN
Dermatophytes have been demonstrated infrequently in the dermis, subcutis, lymph nodes, bones and other tissues. A few cases of deep granulomatous cutaneous infections due to dermatophytes have been reported, but Trichophyton mentagrophytes are extremely rare. We report two cases of T. mentagrophytes infection showing unusual granulomatous manifestations. A 63-year-old woman presented with multiple erythematous patches and nodules on both arms and lower extremities for 3 months. The second patient was a 69-year-old man who had erythematous annular plaques on the dorsum of the left hand for 4 months. Histopathologic examinations of the skin lesions of both patients showed chronic granulomatous inflammation with fungal elements. The biopsy specimens yielded T. mentagrophytes on culture. The skin lesions were cured after administration of itraconazole.