老年人由申氏孢子丝菌引起的淋巴皮肤孢子菌病:碘化钾治疗后复发一例

E. R. Juarez-Duran, S. Escandón-Pérez, Fritz Cajuste-Sequeira, L. M. Sánchez-Navarro, C. Barrera-Ochoa, R. Hernández-Castro, R. Arenas
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引用次数: 0

摘要

孢子菌病是一种由申克孢子丝菌复合体引起的皮下真菌病。它有三种典型的临床变异:固定型、淋巴管型和全身性。大多数病例的治疗是伊曲康唑或碘化钾。本文的目的是沟通与IK治疗的一个不寻常的复发病例。我们报告一位73岁的淋巴管性孢子虫病妇女,对碘化钾治疗有充分的反应,15个月后复发。通过扩增331 bp的钙调蛋白基因片段进行分子测试。在这两种感染中,同一种病毒被分离出来。简要讨论了碘化钾的作用,我们得出结论,如果没有观察到副作用,可以规定同样的治疗方法。
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Limphocutaneous Sporotrichosis Due to Sporothrix schenckii var schenckii: A Relapsing Case after Treatment with Potassium Iodide in Elderly
Sporotrichosis is a subcutaneous mycosis caused by the Sporothrix schenckii complex. It has three classic clinical variants: fixed, lymphangitic, and systemic. Treatment in most cases has been itraconazole or potassium iodide. The aim of this paper is to communicate an unusual relapsing case treated with IK. We report a 73-year-old woman with lymphangitic sporotrichosis, adequate response to treatment with potassium iodide, and recurrence 15 months after. A molecular test was performed through the amplification of a 331 bp fragment of the calmodulin gene. In both infections, the same specie was isolated. The effects of potassium iodide are briefly discussed, and we conclude that the same treatment can be prescribed, if no side effects are observed.
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