Problemas clínicos en micología médica: problema número 51 / Clinical problems in medical mycology: problem number 51
Rev. iberoam. micol
; 35(1): 56-58, ene.-mar. 2018. ilus
Artigo
em Espanhol
| IBECS
| ID: ibc-170923
Biblioteca responsável:
ES1.1
Localização: BNCS
RESUMEN
No disponible
ABSTRACT
A 48 year-old immunocompetent woman, who had a nodular lesion in the neck and a dense infiltrate at the lower lobe of the left lung, presented at the Mycology Unit of Muñiz Hospital of Buenos Aires City. The pulmonary infiltrate disappeared spontaneously 3 months later. The histopathological study of the nodular lesion showed capsulated yeasts (mucicarmin and alcian blue positive stains) compatible with Cryptococcus. The mycological study of a new sample, obtained by a nodular puncture, allowed the isolation of yeasts, identified as Cryptococcus gattii (VGII). Latex test for Cryptococcus capsular antigen in serum was positive (1/100). CSF cultures rendered negative results. Fluconazole at a daily dose of 800mg was given during 45 days with partial improvement; as cultures from a new clinical sample were positive for Cryptococcus, the antimycotic was changed to itraconazole 400mg/day for 5 months, with an excellent clinical response (AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Criptococose
/
Cryptococcus gattii
/
Pneumopatias Fúngicas
Tipo de estudo:
Estudo prognóstico
Limite:
Feminino
/
Humanos
Idioma:
Espanhol
Revista:
Rev. iberoam. micol
Ano de publicação:
2018
Tipo de documento:
Artigo
Instituição/País de afiliação:
Hospital de Infecciosas «Dr. Francisco Javier Muñiz»/Argentina