RESUMO
Human dicrocoeliosis caused by Dicrocoelium dendriticum is reported sporadically from various parts of the world. D. dendriticum, a liver fluke has a complex life cycle with two intermediate hostsâthe land snail and the ant. True human infection occurs by ingestion of the second intermediate host, but spurious infections have occurred after consumption of undercooked animal liver. We report a case of a 20-year-old female who presented with abdominal pain, diarrhea, and itchy skin rashes all over the body. Stool microscopy revealed numerous eggs of D. dendritricum. A brief discussion of the medical literature is presented.
RESUMO
A 35-year-old male presented with multiple discharging sinuses and fluctuant swelling on right side of face which started after a vehicular accident three year back. The lesions did not respond to routine antibiotics treatment but went on increasing. Gram smear showed typical acid fast branching filaments suggestive of nocardiosis, which was confirmed by culture. Patient received co-trimoxazole for three and a half month. When seen again after three years, all the lesions had healed with puckered scarring. Patient had received co-trimoxazole for three and a half months with dramatic improvement.
RESUMO
A 65-year-old man presented with an irregular ulcer with a black eschar on his forehead associated with severe headache. A subcutaneous nodule with a necrotic center was present on the left knee. The diagnosis of Fusarium infection was made and confirmed by biopsy and culture. The patient had a history of bronchial asthma for which he was on inhalational steroids for 5 years. It is unclear if this treatment was related to the disseminated Fusarium infection. The patient received oral itraconazole for 3 months with good improvement but met with an unexpected sudden death.