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1.
Rev. Inst. Med. Trop. Säo Paulo ; 41(5): 313-7, Sept.-Oct. 1999. ilus
Article Dans Anglais | LILACS | ID: lil-250205

Résumé

The authors report the first case of dermatophytosis caused by Trichophyton raubitschekii in a patient from the State of São Paulo with Tinea corporis lesions localized on the buttocks. Culture on Sabouraud-agar with cycloheximide permitted the isolation and identification of the fungus, and the diagnosis was confirmed by Dr. Lynne Sigler, University of Alberta, Canada. Systemic treatment with fluconazole, 150 mg/week for 4 weeks, in combination with topical treatment with isoconazole initially yielded favorable results, with recurrence of the lesions after the medication was discontinued. This is the fifth case of this dermatophytosis published in the Brazilian medical literature


Sujets)
Humains , Femelle , Teigne/microbiologie , Trichophyton/isolement et purification , Antifongiques/usage thérapeutique , Fluconazole/usage thérapeutique , Teigne/diagnostic , Teigne/traitement médicamenteux
2.
Rev. Inst. Med. Trop. Säo Paulo ; 41(5): 319-23, Sept.-Oct. 1999. ilus
Article Dans Anglais | LILACS | ID: lil-250206

Résumé

The authors report two cases of onychomycosis in the dystrophic form, one of them involving an HIV-positive patient, provoked by Scytalidium dimidiatum, previously called Scytalidium lignicola. The subject is reviewed from the taxonomic viewpoint, considering the anamorph Hendersonula toruloidea as a synonym of Nattrassia mangiferae, and having Scytalidium dimidiatum as the major synanamorph. According to many mycologists, Scytalidium hyalinum may be a separate species or a hyaline mutant of Scytalidium dimidiatum. Scytalidium lignicola Pesante 1957 was considered to be the type-species of the genus by ELLIS (1971)13 and later to be a "conidial state" of Hendersonula toruloidea by the same author, today known as Nattrassia mangiferae. The microorganism lives only on the roots of certain plants (mainly Platanus and Pinus). It produces pycnidia and is not considered to be a pathogen, although it is considered as a possible emerging agent capable of provoking opportunistic fungal lesions. The importance of this topic as one of the most outstanding in fungal taxonomy, so likely to be modified over time, as well as its interest in the field of dermatologic mycology, are emphasized


Sujets)
Humains , Mâle , Adulte , Femelle , Deuteromycota/classification , Onychomycose/microbiologie , Antifongiques/usage thérapeutique , Dermatoses du pied/traitement médicamenteux , Dermatoses du pied/microbiologie , Dermatoses de la main/traitement médicamenteux , Dermatoses de la main/microbiologie , Itraconazole/usage thérapeutique , Kétoconazole/usage thérapeutique , Deuteromycota/isolement et purification , Onychomycose/traitement médicamenteux
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