RESUMO
We report a case of Exophiala jeanselmei infection in a postrenal transplant patient. He had verrucous lesions on the thigh and abdomen in which clinical and histologic changes resembled those characteristic of chromoblastomycosis. However, the morphologic features of the fungus seen in the tissue sections made it necessary to diagnose this case as phaeohyphomycosis. The patient was treated successfully by complete excision of the lesion on the abdomen and with oral ketoconazole.
Assuntos
Dermatomicoses/etiologia , Transplante de Rim , Complicações Pós-Operatórias , Adulto , Dermatomicoses/patologia , Dermatomicoses/terapia , Exophiala , Humanos , Masculino , Pele/patologiaRESUMO
We report a case of mycetoma caused by Nocardiopsis dassonvillei in a 39-year-old man. He had multiple nodules and draining sinuses on the anterior aspect of his right leg just below the knee. Few cream-colored granules were seen in the exudate. The biopsy specimen showed gram-positive, non-acid-fast granules with distinct borders. An aerobic actinomycete isolated from the lesion was identified as N dassonvillei. We think that this is the first reported case of mycetoma caused by N dassonvillei.
Assuntos
Infecções por Actinomycetales , Actinomycetales/isolamento & purificação , Micetoma/microbiologia , Adulto , Quimioterapia Combinada , Humanos , Masculino , Micetoma/tratamento farmacológico , Micetoma/etiologia , Sulfametoxazol/uso terapêutico , Trimetoprima/uso terapêuticoRESUMO
A 32-year-old Thai woman developed acquired hypertrichosis lanuginosa with generalized lanugo hair, deeply furrowed tongue, and keratosis pilaris. She had metastatic adenocarcinoma of the liver. A review of world literature reveals 24 cases of which 22 were associated with proven malignancies. Acquired hypertrichosis lanuginosa is almost always a cutaneous sign of internal cancer.
