A Case of Multiple Fungal Abscesses on Inguinal Area Caused by Itraconazole-resistant Trichophyton rubrum / 대한피부과학회지
Korean Journal of Dermatology
; : 360-363, 2017.
Article
em Ko
| WPRIM
| ID: wpr-136700
Biblioteca responsável:
WPRO
ABSTRACT
Dermatophytes usually infect keratinized epithelial structures such as hair and nails. However, they can also cause deep and extensive fungal infections, especially in immunocompromised patients. We report a case with multiple dermal abscesses, which is a rare manifestation of Trichophyton rubrum infection. A 54-year-old man presented with multiple subcutaneous nodules in both inguinal areas with associated tinea cruris. Histopathological findings showed abscesses with fungal hyphae highlighted using Periodic acid-Schiff diastase (PAS-D) staining. Trichophyton rubrum was isolated on a fungal culture of the biopsy specimen obtained from a subcutaneous nodule in the inguinal area. The lesions were resistant to treatment with itraconazole (100 mg twice a day for 6 months); thus, we changed the drug to voriconazole (200 mg twice a day for 3 months). In addition, we extracted the remaining big lesions by incision and drainage. The patient was successfully treated with voriconazole and surgical method.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Tinha
/
Trichophyton
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Biópsia
/
Drenagem
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Hospedeiro Imunocomprometido
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Itraconazol
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Hifas
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Arthrodermataceae
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Abscesso
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Voriconazol
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Dermatology
Ano de publicação:
2017
Tipo de documento:
Article