Pythium insidiosum: relato do primeiro caso de infecção humana no Brasil / Pythium insidiosum: report of the first case of human infection in Brazil

RESUMO

A pitiose é causada por microorganismo aquático, fungo-símile, o Pythium insidiosum, patógeno de homens e animais. Observou-se um paciente com úlcera fagedênica no membro inferior, com exame anatomopatológico sugestivo de zigomicose, pouco sensível à terapêutica antifúngica, obtendo-se cura por meio de ampla exérese. A comprovação etiológica resultou de métodos moleculares, com amplificação e seqüenciamento de DNA de organismo isolado em ágar Sabouraud, observando-se 100 por cento de analogia com seqüências de P. insidiosum depositadas no GenBank.

ABSTRACT

Pythiosis is caused by an aquatic fungus-like organism, Pythium insidiosum, pathogenic to men and animals. A patient with a phagedenic ulcer on the leg is reported. Histopathological examination was suggestive of zygomycosis, response to antifungal drugs was poor and cure was obtained by means of wide surgical excision. Etiologic diagnosis was confirmed by molecular amplification and DNA sequencing of colonies isolated in Sabouraud agar. After BLAST analysis, the sequence showed 100 percent identity with those of P. insidiosum deposited on the GenBank.