Ringworm on the Legs of a Patient after Long-term Intensive care Unit Residency

Muhammad Ali MD, Angelos G. Rigopoulos, M. Mammadov, Marios Matiakis, Michel Noutsias MD
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Abstract

Her significant prior medical history included a Non-Hodgkin Lymphoma type B, stage III (Ann Arbor staging) diagnosed and treated since 2015. In the ICU, she received Cotrimoxazole 960 mg/250ml intravenously twice a day for 4 weeks treatment for the primary disease as well as rehabilitation to prevent muscle atrophy. After clinical improvement, the patient was transferred to the normal ward. In the clinical examination follow up we noticed flat brown itchy spots on the skin in her legs. The spots developed a slightly raised border that expanded outward, forming a circular ring. The interior of the spot was clear and smooth (Figure 1).
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长期重症监护病房住院后患者腿上的癣
她的重要既往病史包括非霍奇金淋巴瘤B型,III期(Ann Arbor分期),自2015年诊断并治疗。重症监护室给予复方新诺明960 mg/250ml静脉滴注,每日2次,连续4周治疗原发疾病,同时进行康复治疗,防止肌肉萎缩。经临床好转后,患者转至普通病房。在临床检查随访中,我们注意到她的腿部皮肤上有扁平的棕色瘙痒点。这些斑点形成了一个向外扩展的稍微凸起的边界,形成了一个圆环。斑点内部清晰光滑(图1)。
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