RESUMO
Skin infections associated with visits to tropical countries are well known. In most of the cases, the infection is caused by Staphylococcus aureus. After a sufficient antibiotic treatment, the skin infections resolve without any sequelae. But several patients suffer from recurrent skin infections. Panton-Valentine leukocidin (PVL) is a cytotoxin produced by S aureus, which is associated with severe necrotic skin lesions and with a high contagiosity.
Assuntos
Abscesso/diagnóstico , Abscesso/microbiologia , Toxinas Bacterianas/isolamento & purificação , Exotoxinas/isolamento & purificação , Leucocidinas/isolamento & purificação , Infecções Cutâneas Estafilocócicas/diagnóstico , Infecções Cutâneas Estafilocócicas/microbiologia , Staphylococcus aureus/isolamento & purificação , Abscesso/tratamento farmacológico , Adulto , Antibacterianos/uso terapêutico , Toxinas Bacterianas/biossíntese , Exotoxinas/biossíntese , Feminino , Fiji , Alemanha , Gana , Humanos , Leucocidinas/biossíntese , Masculino , Resistência a Meticilina , Recidiva , Infecções Cutâneas Estafilocócicas/tratamento farmacológico , Staphylococcus aureus/metabolismo , Resultado do Tratamento , Clima TropicalRESUMO
We present a case of a long-term history of imported mucocutaneous leishmaniasis, illustrating the importance of this differential diagnosis even decades after exposure. Diagnostic pitfalls and the role of primary subspecies differentiation are demonstrated. Chemotherapy avoiding antimonials was successful and remarkably well tolerated by an elderly patient.