Severe form of lymphocutaneous sporotrichosis: a case report.

IF 1.5 4区 医学 Q4 INFECTIOUS DISEASES Revista Do Instituto De Medicina Tropical De Sao Paulo Pub Date : 2023-01-01 DOI:10.1590/S1678-9946202365041
Ezequias Batista Martins, Sandra Maria Barbosa Durães, Julia de Abreu Teixeira, Remberto Maurício de La Cruz Vargas Vilte, Aline Schultz Klitzke, Thainá Busque Dos Santos, Karla Regina Oliveira de Moura Ronchini, Laura da Cunha Ferreira, Natália Chilinque Zambão da Silva, Ianick Souto Martins, Billy McBenedict, Carolina Romero Cardoso Machado, Patrícia Yvonne Maciel Pinheiro
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Abstract

Sporotrichosis is the most frequent subcutaneous mycosis in Latin America. It is caused by species of the genus Sporothrix. Infection in humans occurs through the entry of the fungus into the skin. Zoonotic outbreaks involving cats in the transmission of the disease have been frequently reported. The lymphocutaneous form is the most commonly observed and the upper limbs are the most affected sites. We report a case of a 64-year-old healthy female patient with a lymphocutaneous form with rapid progression of lesions, which was refractory to initial treatment with itraconazole. Treatment with liposomal amphotericin B was performed with a satisfactory resolution, but aesthetic and functional sequelae in the left upper limb were installed.

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严重型淋巴皮肤孢子虫病1例。
孢子虫病是拉丁美洲最常见的皮下真菌病。它是由孢子菌属的一种引起的。人类感染是通过真菌进入皮肤而发生的。经常报道涉及猫传播疾病的人畜共患病暴发。淋巴皮肤形式是最常见的观察和上肢是最受影响的部位。我们报告一例64岁的健康女性患者的淋巴皮肤形式与快速进展的病变,这是难以用伊曲康唑初始治疗。两性霉素B脂质体治疗效果满意,但左上肢存在美观和功能后遗症。
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来源期刊
CiteScore
3.60
自引率
5.30%
发文量
100
审稿时长
6-12 weeks
期刊介绍: The Revista do Instituto de Medicina Tropical de São Paulo (Journal of the São Paulo Institute of Tropical Medicine) is a journal devoted to research on different aspects of tropical infectious diseases. The journal welcomes original work on all infectious diseases, provided that data and results are directly linked to human health. The journal publishes, besides original articles, review articles, case reports, brief communications, and letters to the editor. The journal publishes manuscripts only in English. From 2016 on, the Revista do Instituto de Medicina Tropical de São Paulo (Journal of the São Paulo Institute of Tropical Medicine) is published online only, maintaining the free access. For more information visit: - http://www.scielo.br/rimtsp - http://www.imt.usp.br/revista-imt/
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