Assuntos
Massagem , Medicina Tradicional do Leste Asiático , Escabiose/transmissão , Acaricidas/uso terapêutico , Adulto , Animais , China , Quimioterapia Combinada , Fômites , Humanos , Hidroxizina/uso terapêutico , Itália/epidemiologia , Masculino , Metilprednisolona/análogos & derivados , Metilprednisolona/uso terapêutico , Pessoa de Meia-Idade , Permetrina/uso terapêutico , Sarcoptes scabiei/fisiologia , Escabiose/tratamento farmacológico , Escabiose/epidemiologiaRESUMO
We describe two cases of hookworm-related cutaneous larva migrans acquired in Brittany (North-Western France). The patients were a 23-year-old woman and a 28-year-old man. In both patients the feet were involved. In the second patient, a superinfection due to Staphylococcus aureus was recorded. The appearance in Brittany of a reservoir of nematodes capable of causing hookworm-related cutaneous larva migrans is hypothesized.
Assuntos
Reservatórios de Doenças/parasitologia , Infecções por Uncinaria , Larva Migrans , Adulto , Animais , Feminino , França , Humanos , Masculino , Adulto JovemAssuntos
Leishmaniose , Adulto , Feminino , Humanos , Leishmaniose/patologia , Terminologia como AssuntoRESUMO
Latency period in cutaneous leishmaniasis was very rarely studied so far. We describe three patients, aged 71, 50 and 32 years, respectively, who contracted cutaneous leishmaniasis in Sicily. In all patients, clinical diagnosis was confirmed by histopathological examination and polymerase chain reaction: the latter was positive for Leishmania infantum in two patients and Leishmania canis in one. All cases were characterized by a very long period of latency, ranging from 11 to 16 months. These cases suggest that latency time of cutaneous leishmaniasis acquired in Sicily may be sometimes very long. The reasons of this latency time are unknown: latency depends neither by the involved species of sandflies and Leishmania nor by the immunological response of the patients: all laboratory tests, including immunological ones, were normal.
Assuntos
Leishmania/isolamento & purificação , Leishmaniose Cutânea/diagnóstico , Adulto , Idoso , Animais , Antiprotozoários/administração & dosagem , Biópsia , Crioterapia , Feminino , Humanos , Injeções Intralesionais , Leishmania infantum/isolamento & purificação , Leishmaniose Cutânea/terapia , Masculino , Pessoa de Meia-Idade , Compostos Organometálicos/administração & dosagem , Reação em Cadeia da Polimerase , Psychodidae , Sicília , Fatores de Tempo , Resultado do TratamentoRESUMO
The authors describe a case of cutaneous myiasis caused by Dermatobia hominis in a 23-year-old Italian woman who contracted the infestation during a tour in Jamaica. The infestation was located on the back and was characterized clinically by a single inflammatory nodule. To our knowledge, this is the first case of cutaneous myiasis due to Dermatobia hominis acquired in Jamaica.
Assuntos
Dípteros , Miíase/diagnóstico , Dermatopatias Parasitárias/diagnóstico , Animais , Feminino , Humanos , Itália , Jamaica , Viagem , Adulto JovemRESUMO
We describe the case of a 31-year-old man who was affected by three asymptomatic, aphthoid, syphilitic chancres of the oral cavity. These lesions were accompanied by right latero-cervical and chin lymphadenopathy. The infection was previously diagnosed as aphthous stomatitis. The search for Treponema pallidum by means of darkfield microscope examination was positive. The patient was successfully treated with oral erythromycin ethylsuccinate. To our knowledge, this is the first case of multiple aphthoid syphilitic chancres of the oral cavity reported in the literature. We suggest that all patients with a recent history of painless ulcers in the oral cavity, accompanied by regional lymphadenopathy in which the clinical diagnosis has not been confirmed, should undergo a darkfield microscope examination.
Assuntos
Cancro , Boca , Treponema pallidum/isolamento & purificação , Adulto , Antibacterianos/uso terapêutico , Cancro/diagnóstico , Cancro/tratamento farmacológico , Cancro/microbiologia , Cancro/patologia , Etilsuccinato de Eritromicina/uso terapêutico , Humanos , Masculino , Boca/microbiologia , Boca/patologia , Úlceras Orais/diagnóstico , Úlceras Orais/microbiologia , Úlceras Orais/patologia , Estomatite Aftosa/diagnóstico , Estomatite Aftosa/microbiologia , Estomatite Aftosa/patologia , Treponema pallidum/efeitos dos fármacosRESUMO
The authors describe two cases of cutaneous larva migrans associated with fever in two HIV-positive patients. Laboratory and instrumental examinations allowed to exclusion of other possible causes of fever. The presence of fever in patients with cutaneous larva migrans might represent a marker of HIV infection.
