Chromoblastomycosis caused by Rhinocladiella aquaspersa: first case report in Guatemala
An. bras. dermatol
; 94(5): 574-577, Sept.-Oct. 2019. graf
Artigo
em Inglês
| LILACS
| ID: biblio-1054870
Biblioteca responsável:
BR1.1
ABSTRACT
Abstract The authors report a case of 40-year-old male patient with a five-year history of chromoblastomycosis on his right leg. Diagnosis was performed by direct 40% KOH exam of skin scales, culture with micro- and macromorphologic analysis, and genotypic characterization (sequencing of a fragment of the ITS region and phylogenetic analysis) of the isolated fungus. Rhinocladiella aquaspersa was identified as the etiological agent. Initially, the treatment was with oral itraconazole 200 mg/day for one year. However, the presence of "sclerotic cells" with filaments ("Borelli spiders") resulted in a change of medical treatment a higher dose of itraconazole (400 mg/day) and surgery, achieving clinical and mycological cure in one year. This is the first report of chromoblastomycosis caused by R. aquaspersa in Guatemala.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Ascomicetos
/
Cromoblastomicose
Tipo de estudo:
Estudo prognóstico
Limite:
Adulto
/
Humanos
/
Masculino
País/Região como assunto:
América Central
/
Guatemala
Idioma:
Inglês
Revista:
An. bras. dermatol
Assunto da revista:
Dermatologia
Ano de publicação:
2019
Tipo de documento:
Artigo
País de afiliação:
Guatemala
/
México
Instituição/País de afiliação:
Dr. Manuel Gea González General Hospital/MX
/
Hospital Regional de Alta Especialidad de Ixtapaluca/MX
/
Instituto Guatemalteco de Seguridad Social/GT