RESUMO
Primary invasive fungal infections occur after direct contact or direct inoculation of the skin with fungal spores. Rhizopus species and Aspergillus terreus are opportunistic fungal species that rarely cause disease in immunocompetent hosts. In susceptible patients, infection may progress rapidly. Aggressive surgical debridement and use of systemic antimycotic agents may successfully control disease and prevent systemic dissemination. We describe the case of a patient with a scalp infection, caused by Rhizopus species and A. terreus, that occurred after contact with pavement during a motor vehicle collision. Control was achieved with repeated debridement and use of systemic antifungal therapy.
Assuntos
Acidentes de Trânsito , Aspergilose/patologia , Aspergilose/terapia , Mucormicose/patologia , Mucormicose/terapia , Dermatoses do Couro Cabeludo/patologia , Dermatoses do Couro Cabeludo/terapia , Aspergilose/microbiologia , Aspergillus/isolamento & purificação , Humanos , Masculino , Pessoa de Meia-Idade , Mucormicose/microbiologia , Rhizopus/isolamento & purificação , Dermatoses do Couro Cabeludo/microbiologiaRESUMO
Darier-White disease (DWD), commonly called Darier disease or keratosis follicularis, is a genodermatosis seen in clinical practice. It exists more commonly in the generalized form but can present as a localized condition. Localized DWD is a rare entity characterized by epidermal changes that are like those seen in the generalized form but that are confined to a small area of skin. This entity is postulated to result from a postzygotic mutation and has the potential to be transmitted to offspring, which may result in the severe generalized form. We report a case of localized DWD diagnosed after biopsy of a recalcitrant linear dermatitis and discuss the salient features of this condition.
