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Ann Clin Microbiol Antimicrob ; 19(1): 39, 2020 Sep 02.
Artículo en Inglés | MEDLINE | ID: mdl-32878629

RESUMEN

Majocchi's granuloma is an uncommon fungal infection of the dermis and subcutaneous tissue. The most frequently identified cause of Majocchi's granuloma is anthropophilic Trichophyton rubrum, and it is most commonly located on the anterior aspect of the lower limbs in women. Here, we report a case of Majocchi's granuloma on the forearm, a site that is rarely involved, in a 62-year-old woman who had been bitten by a dog. Histological examination revealed a dense dermal infiltrate composed of lymphoplasmacytic cells and neutrophils, with hyphae in the dermis. The presence of the fungus, Trichophyton tonsurans, was confirmed by mycological examination and molecular methods. Therefore, histological and mycological examination confirmed the diagnosis of Majocchi's granuloma. The patient was treated with local moxibustion and itraconazole, 200 mg/day, for 60 days, which facilitated a complete resolution of the lesions.


Asunto(s)
Mordeduras y Picaduras/complicaciones , Granuloma/diagnóstico , Granuloma/microbiología , Tiña/diagnóstico , Tiña/microbiología , Animales , Antifúngicos/uso terapéutico , Arthrodermataceae/aislamiento & purificación , Perros , Femenino , Granuloma/tratamiento farmacológico , Humanos , Persona de Mediana Edad , Tiña/tratamiento farmacológico
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