RESUMO
Pulmonary parasitosis is scarcely encountered in France, and its diagnosis is quite difficult. If numerous parasites can be responsible for respiratory symptoms, only few of them can develop in the lung parenchyma and lead to complications necessitating a surgical treatment. The most common example is the hydatic disease of the lung. The authors review the biological cycles, clinical forms, diagnostic and treatment principles of those main lung parasites, which deserve surgical consideration.
Assuntos
Pneumopatias Parasitárias/cirurgia , Procedimentos Cirúrgicos Pulmonares/estatística & dados numéricos , Amebíase/diagnóstico , Amebíase/cirurgia , Diagnóstico Diferencial , Equinococose Pulmonar/diagnóstico , Equinococose Pulmonar/cirurgia , Humanos , Pneumopatias Parasitárias/diagnóstico , Paragonimíase/diagnóstico , Paragonimíase/cirurgia , Procedimentos Cirúrgicos Pulmonares/métodosRESUMO
We report a 37-year-old woman who presented a cutaneous papulonodular skin eruption with sporotrichoid topographic distribution. The diagnosis of Mycobacterium marinum infection was obtained with the bacteriological examination of a cutaneous biopsy and related to cleaning her aquarium at home. Mycobacteriological grown on a subdermal contraceptive implant had not been published before.
Assuntos
Dispositivos Anticoncepcionais Femininos/efeitos adversos , Infecções por Mycobacterium não Tuberculosas/diagnóstico , Mycobacterium marinum/isolamento & purificação , Dermatopatias Bacterianas/diagnóstico , Dermatopatias Bacterianas/microbiologia , Adulto , Antibacterianos/uso terapêutico , Braço/patologia , Desbridamento , Diagnóstico Diferencial , Quimioterapia Combinada , Feminino , Dedos/patologia , Humanos , Infecções por Mycobacterium não Tuberculosas/complicações , Infecções por Mycobacterium não Tuberculosas/patologia , Infecções por Mycobacterium não Tuberculosas/terapia , Dermatopatias Bacterianas/patologia , Dermatopatias Bacterianas/terapia , Esporotricose/diagnóstico , Resultado do TratamentoRESUMO
This richly illustrated article (80 color photographs) based on the authors' experience in French Guyana documents the clinical diversity of American tegumentary leishmaniasis. Main highlights include the often outstanding aspect of lesions, the high frequency of forms not associated with ulceration or scab formation that must be recognized to achieve diagnosis in travellers returning from endemic zones, and the special prognosis of clinical forms associated with intradermic, lymphatic or hematogenous spread. The article also reviews an original diagnostic method based on culture of cutaneous biopsy specimens on specific nutrient mediums that provides isolates in a high percentage of cases (80%) and thus allows identification of offending parasite.