ABSTRACT
Necrobacillosis due to Fusobacterium necrophorum is an uncommon anaerobic infection. It has a wide range of presentations and commonly presents as Lemierre's syndrome. We present a case of necrobacillosis defined by F. necrophorum bacteremia with epidural and pararectal fluid collection without evidence of internal jugular vein thrombophlebitis.
Subject(s)
Fusobacterium Infections/diagnosis , Fusobacterium necrophorum/isolation & purification , Sepsis/diagnosis , Adolescent , Epidural Abscess/diagnosis , Epidural Abscess/pathology , Fusobacterium Infections/microbiology , Head/diagnostic imaging , Humans , Male , Radiography , Sepsis/complications , Sepsis/microbiology , TomographyABSTRACT
Tinea versicolor is a common noninvasive cutaneous fungal disease. We recount a case of tinea versicolor that mimicked type I (classic adult) pityriasis rubra pilaris. A 54-year-old white man reported a 20-year history of a recurrent pruritic eruption that had marginally improved with use of selenium sulfide shampoo and treatment with oral antihistamines. Results of a skin examination revealed erythematous plaques; islands of spared skin; and follicular erythematous keratotic papules on the trunk, shoulders, and upper arms. A lesion was scraped to obtain skin scales for potassium hydroxide staining. Examination of the stained samples revealed the characteristic "spaghetti and meatballs," confirming the diagnosis.
Subject(s)
Pityriasis Rubra Pilaris/diagnosis , Tinea Versicolor/diagnosis , Antifungal Agents/therapeutic use , Diagnosis, Differential , Humans , Hydroxides , Itraconazole/therapeutic use , Male , Middle Aged , Potassium Compounds , Staining and Labeling , Tinea Versicolor/drug therapyABSTRACT
Classic porokeratosis is a rare skin disease occasionally involving the oral mucosa. It is characterized by the clinically and histologically distinctive comoid lamella. This case represents a variant of Mibelli's classic porokeratosis presenting as a solitary lesion on the mucosal surface of the lower lip.
