Severe skin and soft tissue pythiosis acquired in a hot spring in the southwestern United States, a case report and review of North American cases.
Travel Med Infect Dis
; 48: 102349, 2022.
Article
in En
| MEDLINE
| ID: mdl-35490949
ABSTRACT
BACKGROUND:
Human pythiosis, caused primarily by the aquatic oomycete, Pythium insidiosum, is an emerging but uncommon infection in North America. The infection is frequently life-threatening and is often initially unrecognized due to its rarity and similar presentation to certain fungal infections.METHODS:
We report a case of skin and soft tissue pythiosis in a patient without significant underlying comorbidities acquired in a New Mexico hot spring and review its successful treatment. We also review all reported pythiosis cases in North America.RESULTS:
Eleven confirmed cases of human pythiosis acquired in North America were identified. The majority of cases occurred in children (64%), ten of eleven cases were acquired in the southern U.S., Mexico, Central America or the Caribbean and four of the eleven individuals succumbed to the infection.CONCLUSIONS:
With recognition and aggressive surgical and medical treatment good clinical outcomes can be achieved when treating human pythiosis.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pythium
/
Hot Springs
/
Pythiosis
Type of study:
Diagnostic_studies
/
Prognostic_studies
Limits:
Animals
/
Child
/
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Travel Med Infect Dis
Journal subject:
DOENCAS TRANSMISSIVEIS
Year:
2022
Document type:
Article