ABSTRACT
Nasal polyposis is an inflammatory condition of mucous membrane of the nose and paranasal sinuses with unknown aetiology. Massive nasal polyps can obstruct the nasal cavity causing discomfort and lowered quality of life. Thus, aetiological diagnosis is important for treatment, especially in recurrent nasal polyposis. We present a rare case of pansinusitis with bilateral ethmoidal polyps caused by an unusual phaeoid fungus Fonsecaea pedrosoi in a 65-year-old immunocompetent male from a rural background. The diagnosis was made by endoscopic nasal examination; high resolution computed tomography of the paranasal sinuses, detection of fungal hyphae in 10% potassium hydroxide wet mount and culture.
Subject(s)
Ascomycota/isolation & purification , Mycoses/diagnosis , Mycoses/pathology , Nasal Polyps/complications , Sinusitis/diagnosis , Sinusitis/pathology , Aged , Endoscopy , Humans , Male , Microbiological Techniques , Microscopy , Mycoses/microbiology , Sinusitis/microbiology , Tomography, X-Ray ComputedABSTRACT
Microsporum gypseum, a geophillic dermatophyte is rarely isolated from patients with acquired immunodeficiency syndrome. We report tinea corporis due to Microsporum gypseum, an uncommon aetiological agent, in a patient with acquired immunodeficiency syndrome from our region. The clinical presentation resembled psoriasis characterised by atypical, scaly and hyperkeratotic lesions.
Subject(s)
AIDS-Related Opportunistic Infections/diagnosis , AIDS-Related Opportunistic Infections/microbiology , Acquired Immunodeficiency Syndrome/complications , Microsporum/isolation & purification , Tinea/diagnosis , Tinea/microbiology , AIDS-Related Opportunistic Infections/pathology , Female , Humans , Middle Aged , Tinea/pathologySubject(s)
Blood-Borne Pathogens/isolation & purification , Cryptococcus neoformans/isolation & purification , HIV Infections/diagnosis , HIV/isolation & purification , Meningitis, Cryptococcal/diagnosis , Midwifery , Occupational Exposure , Aged , Female , HIV Infections/complications , HIV Infections/pathology , Humans , Meningitis, Cryptococcal/pathologyABSTRACT
Perinatal listerial infection is the most common clinical syndrome caused by Listeria monocytogenes and includes abortion, still birth, neonatal sepsis, and meningitis. Reports of listeriosis from India are limited. Sub Himalayan . We report a case of neonatal listeriosis from Himachal Pradesh. A two-day-old full term male baby was referred from a peripheral hospital with fever listlessness, skin rash and non-acceptance of feed. Ceftriaxone was already started as an empirical therapy. Listeria monocytogenes was isolated from cerebrospinal fluid (CSF) and blood of the baby, and also from the genital tract of the mother. Unfortunately, the baby died before the preliminary report could be communicated.
Subject(s)
Blood/microbiology , Cerebrospinal Fluid/microbiology , Listeria monocytogenes/isolation & purification , Meningitis, Listeria/microbiology , Fatal Outcome , Female , Humans , India , Infant, Newborn , MaleABSTRACT
During the period 1990-2002 in Himachal Pradesh, India, 103 new patients with cutaneous sporotrichosis were detected. Lymphocutaneous and fixed cutaneous varieties were the most common and seen in 49% and 43% respectively. Chronic non-specific inflammation without granuloma formation was seen in 46% skin biopsy specimens, 29% showed acute or chronic inflammation and tuberculoid granuloma formation was seen in 25%. In 32% of cases Sporothrix schenckii growth was seen on Sabouraud glucose agar. A saturated solution of potassium iodide was used as first-line treatment and in 93% patients healing of lesions occurred in 4-32 weeks (average 8.7 weeks) without significant side-effects. Itraconazole, used in 12 patients, was highly effective in recommended doses. Rapid healing was seen with higher than previously used doses of fluconazole in one patient who also had unusual exacerbation of lesional inflammation with saturated solution of potassium iodide.
