[Favus tinea]

Favus tinea is becoming increasingly rare in North Africa, including Morocco. Negligance of these scalp lesions by some patients, especially the poor cases, lead to a risk of contagion in the environment and maintenance of transmission. We report the case of a 13 years old male patient, from a poor family, who presented after school eviction, with a favus. This scalp lesion has evolved over several years with notion of contamination to his mother and sister. This patient was treated with terbinafine [Lamisil registered] orally at a dose of 125mg/jour once daily for four weeks, combined econazole cream 1% [Pevaryl registered] in two applications per day. This treatment was effective. However, there was persistence of large scars and alopecia. This case illustrates the persistence of favus tinea in Morocco. The active case detection, treatment and improving hygienic conditions can accelerate the eradication of this type of mycosis

Tinea nigra palmaris: presentación de un caso clínico en la República Argentina

Se presenta el caso clínico de una paciente que consultó por una mancha oscura en la palma izquierda. El examen micológico permitió determinar que la infección había sido producida por un hongo pigmentado, Hortaea werneckii, agente etiológico de la tinea nigra palmaris. Esta es una infección benigna que puede ser rápidamente diagnosticada y tiene tratamiento eficaz. La paciente fue tratada con econazol durante un mes, con remisión completa de las lesiones. Frente a la sospecha de una infección fúngica por la presencia de manchas de color pardo es muy importante practicar el estudio micológico, ya que mediante una técnica no invasora es posible establecer un diagnóstico diferencial y descartar fácilmente otras patologías más graves con las que puede confundirse en el examen clínico.

A clinical case of a female patient with a black spot on the palm of her left hand is presented. The infection was due to a black fungus identified as Hortaea werneckii, the aetiological agent of tinea nigra palmaris. This infection can be easily diagnosed and it is important to establish the differential diagnosis from other skin pathologies. Normally, the treatment has a successful outcome. In this case, the patient was treated with econazole locally applied during one month, with complete remission of the lesions. In conclusion, the early diagnosis of this disease is very important since the mycology procedures are fast and non-invasive and cure is obtained with local treatment.

Kerionlike lesion of the scalp due to Acremonium kiliense in a noncompromised boy

Relatamos um caso de lesao tipo querio do couro cabeludo causada por Acremonium kiliense, em menino sem doenca de base. O diagnostico foi feito pelo exame direto e cultivos do pus e crostas.

Terapêutica dermatológica sistêmica e tópica na gravidez e lactaçäo: o que pode ser usado? / The topical and systemic dermatologic therapy in pregnancy and lactation: what can be used?

É feita uma revisäo dos medicamentos tópicos e sistêmicos mais comumente utilizados na terapêutica dermatológica com o objetivo de orientar seu uso na gravidez e lactaçäo

Candidíase vulvovaginal / Vulvovaginal candidiasis

É apresentada uma revisäo da literatura sobre a candidíase vulvovaginal, com maior ênfase ao diagnóstico e tratamento

A comparative study of anti-fungal drugs in mycotic corneal ulcer.

From our clinical trials of different available antifungal drugs for the cases of keratomycosis, we conclude that Econazole 1% ointment is a safe and effective antifungal agent having a wide range of antifungal activity. With rising incidence of mycotic ulcer particularly in rural population where facilities for laboratory diagnosis and drug sensitivity tests for antifungal drugs are lacking Econazole can be useful as a broad spectrum antifungal agent for the cases of keratomycosis and also could be used as a prophylactic in cases of traumatic corneal ulcer as those are particularly at risk.