ABSTRACT
Tineabarbae is a rare form of dermatophytosis that affects hair follicles of the beard and moustache. Dermoscopy could prove useful to identify parasitism of hair of the beard, just as it has proven useful in the diagnosis of Tineacapitis. We present the first fully documented case series of T. barbae with clinical, dermoscopic and mycological features.
Subject(s)
Dermoscopy/methods , Facial Dermatoses/diagnosis , Microscopy/methods , Tinea/diagnosis , Adult , Dermoscopy/standards , Diagnosis, Differential , Face , Facial Dermatoses/microbiology , Hair/microbiology , Humans , Male , Microscopy/standards , Middle Aged , Scalp/microbiology , Tinea/microbiologySubject(s)
Hair Diseases/diagnostic imaging , Tinea/diagnostic imaging , Adolescent , Adult , Child , Child, Preschool , Dermoscopy , Female , Hair Diseases/microbiology , Humans , MaleABSTRACT
Las infecciones cutáneas constituyen un motivo de consulta frecuente en dermatología pediátrica. Se revisan las manifestaciones clínicas, el diagnóstico y el tratamiento de los principales cuadros infecciosos bacterianos de la piel, así como de la sobreinfección de las heridas punzantes y por mordedura. Las bacterias más prevalentes en las infecciones cutáneas son Staphylococcus aureus (S. aureus) y Streptococcus pyogenes. El tratamiento es generalmente empírico y solo ante determinadas circunstancias o mala evolución clínica se recomienda el estudio microbiológico. Las infecciones cutáneas superficiales pueden tratarse con antisépticos y antibióticos tópicos (mupirocina o ácido fusídico). El tratamiento sistémico se reserva para formas extensas, graves o con otros factores de riesgo del huésped. En estos casos, el antibiótico de elección dependerá, entre otros factores, de los patógenos sospechados; los más utilizados son penicilina, amoxicilina, amoxicilina-ácido clavulánico y cefalosporinas de primera o segunda generación. Considerando la baja incidencia de S. aureus resistente a la meticilina de adquisición comunitaria en nuestro país, no se recomienda modificar el tratamiento empírico salvo en circunstancias de especial gravedad, recurrencia o antecedente epidemiológico, en cuyo caso el tratamiento recomendado es clindamicina o trimetoprima-sulfametoxazol
Skin infections are a common cause for dermatological consultations in the paediatric setting. A review is presented of the clinical manifestations, diagnosis and treatment of the main bacterial skin infections, as well as the diagnosis and treatment of super-infected puncture and bite wounds. The most prevalent bacteria in skin infections are Staphylococcus aureusand Streptococcus pyogenes. Treatment is usually empirical, since microbiological studies are only recommended under certain circumstances or lack of improvement with common therapies. Superficial skin infections can be treated with local antiseptics or antibiotics (mupirocin or fusidic acid). Systemic treatment is usually reserved for patients with extensive or severe disease or with other risk factors. Systemic treatment depends on the suspected infecting bacteria, with penicillin, amoxicillin, amoxicillin-clavulanic acid and first or second generation cephalosporin being the most frequently used drugs. Due to the low incidence of community-acquired methicillin-resistant infection by S. aureus in Spain, the use of clindamycin or co-trimoxazole is only recommended after severe disease, relapses or a clear epidemiological background
Subject(s)
Humans , Male , Female , Child , Bacterial Infections/diagnosis , Bacterial Infections/drug therapy , Bacterial Infections/etiology , Infection Control/methods , Skin Diseases, Infectious/diagnosis , Skin Diseases, Infectious/drug therapy , Skin Diseases, Infectious/etiology , Anti-Infective Agents, Local/therapeutic use , Consensus Development Conferences as Topic , Streptococcus pyogenes , Streptococcus pyogenes/isolation & purification , Staphylococcus aureus , Staphylococcus aureus/isolation & purification , Mupirocin/therapeutic use , Fusidic Acid/therapeutic use , Dermatitis/diagnosis , Dermatitis/drug therapy , Societies, Medical/standardsABSTRACT
Skin infections are a common cause for dermatological consultations in the paediatric setting. A review is presented of the clinical manifestations, diagnosis and treatment of the main bacterial skin infections, as well as the diagnosis and treatment of super-infected puncture and bite wounds. The most prevalent bacteria in skin infections are Staphylococcus aureus and Streptococcus pyogenes. Treatment is usually empirical, since microbiological studies are only recommended under certain circumstances or lack of improvement with common therapies. Superficial skin infections can be treated with local antiseptics or antibiotics (mupirocin or fusidic acid). Systemic treatment is usually reserved for patients with extensive or severe disease or with other risk factors. Systemic treatment depends on the suspected infecting bacteria, with penicillin, amoxicillin, amoxicillin-clavulanic acid and first or second generation cephalosporin being the most frequently used drugs. Due to the low incidence of community-acquired methicillin-resistant infection by S. aureus in Spain, the use of clindamycin or co-trimoxazole is only recommended after severe disease, relapses or a clear epidemiological background.
Subject(s)
Staphylococcal Skin Infections/diagnosis , Staphylococcal Skin Infections/therapy , Streptococcal Infections/diagnosis , Streptococcal Infections/therapy , Anti-Bacterial Agents/therapeutic use , Clindamycin/therapeutic use , Community-Acquired Infections/drug therapy , Consensus , Humans , Outpatients , Pediatrics , Spain , Staphylococcus aureus , Streptococcus pyogenesABSTRACT
No disponible
Subject(s)
Child , Female , Humans , Pharmaceutical Preparations/administration & dosage , Vasculitis/genetics , Vasculitis/metabolism , Scrophularia nodosa/administration & dosage , Scrophularia nodosa , Aneurysm/complications , Aneurysm/metabolism , Skin/pathology , Pharmaceutical Preparations , Vasculitis/complications , Vasculitis/diagnosis , Scrophularia nodosa/standards , Scrophularia nodosa/therapeutic use , Aneurysm/genetics , Aneurysm/psychology , Skin/physiopathologyABSTRACT
INTRODUCTION: Clinical expression of psoriasis is in part dependent on external factors, such as drugs, microorganisms or stress. However convincing evidence of the role of Malassezia species in the pathogenesis of the psoriasis is still lacking. PATIENTS AND METHODS: Samples taken from scalp skin of 40 psoriatic patients and the same number of healthy individuals were observed under direct microsocopic examination and cultured on modified Dixon agar. RESULTS: Direct microscopy examination of psoriatic scalp scales was positive in 30 (75%) patients; while it was positive in only 12 (30%) healthy subjects (P=0.003). Half of the cultures from healthy subjects showed no growth of colonies, but only 8 (15%) of psoriatic patients were negative. When an exacerbation has occurred in the previous weeks, pseudohyphaes were observed in 12 (40%) patients, Malassezia globosa was isolated in 18 (45%) patients and Malassezia restricta was isolated in 12 (30%) patients. In the group of patients having stable lesion, without any exacerbation in the previous weeks, no pseudohypahes were observed, M. globosa was not isolated, M. restricta was isolated in 4 (10%), and cultures were negative in 6 of them (15%). CONCLUSIONS: Malassezia species form an integral part of normal cutaneous microflora in humans, however we found that during the episodes of exacerbation of the disease the presence of these yeasts, and particularly M. globosa, was increased.
Subject(s)
Dermatomycoses/complications , Malassezia/physiology , Psoriasis/microbiology , Scalp/microbiology , Adolescent , Adult , Aged , Dermatomycoses/epidemiology , Dermatomycoses/microbiology , Disease Progression , Female , Humans , Male , Middle Aged , Psoriasis/epidemiology , Psoriasis/pathology , Scalp/pathology , Young AdultABSTRACT
No disponible
Subject(s)
Humans , Female , Infant, Newborn , Ecthyma/complications , Ecthyma/diagnosis , Ecthyma/embryology , Ecthyma/prevention & control , Ecthyma/therapy , Skin Diseases , Obstetric Labor, Premature , Neutropenia , Sepsis , Pseudomonas aeruginosa , Case ReportsABSTRACT
No disponible
Subject(s)
Humans , Female , Infant , Tongue, Hairy/diagnosis , Urea/therapeutic use , Tongue, Hairy/drug therapy , Administration, TopicalSubject(s)
Facial Dermatoses/diagnosis , Infant, Premature, Diseases/diagnosis , Pseudomonas Infections/diagnosis , Pseudomonas aeruginosa/isolation & purification , Skin Diseases, Bacterial/diagnosis , Amikacin/therapeutic use , Facial Dermatoses/drug therapy , Facial Dermatoses/microbiology , Fatal Outcome , Female , Gangrene , Humans , Infant, Newborn , Infant, Premature , Infant, Premature, Diseases/drug therapy , Infant, Premature, Diseases/microbiology , Meropenem , Necrosis , Neutropenia/complications , Pseudomonas Infections/drug therapy , Pseudomonas Infections/microbiology , Sepsis/complications , Sepsis/drug therapy , Sepsis/microbiology , Skin Diseases, Bacterial/drug therapy , Skin Diseases, Bacterial/microbiology , Skin Ulcer/etiology , Skin Ulcer/microbiology , Thienamycins/therapeutic useSubject(s)
Tongue, Hairy , Female , Humans , Infant , Tongue, Hairy/drug therapy , Tongue, Hairy/pathologySubject(s)
Eyelid Neoplasms/drug therapy , Hemangioma/drug therapy , Timolol/therapeutic use , Female , Gels , Humans , InfantABSTRACT
Histoplasmosis is a fungal infection caused by a dimorphic fungus, Histoplasma capsulatum. Most infections occur after inhalation of fungal spores. A wide variety of clinical manifestations can occur depending on the host response and the extent of inoculation. We report a case of probable cutaneous histoplasmosis after trauma in a 26-year-old man from Paraguay who was also infected with the human immunodeficiency virus. Diagnosis was based on histological and mycological examination. No systemic involvement was found.
