Cutaneous and meningeal sporotrichosis in a HIV patient.

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Bibliographic Details
Title:	Cutaneous and meningeal sporotrichosis in a HIV patient.
Alternate Title:	Esporotricosis cutánea y meningea en un paciente con VIH.
Authors:	Vilela, Raquel¹, Souza, Guenael F.², Cota, Gláucia Fernandes², Mendoza, Leonel³ mendoza9@msu.edu
Source:	Revista Iberoamericana de Micologia. jun2007, Vol. 24 Issue 2, p161-163. 3p.
Subjects:	SPOROTRICHOSIS, HIV-positive persons, TUBERCULOSIS, AMPHOTERICIN B, DISEASES in men
Abstract (English):	A male patient with HIV and past history of tuberculosis and suspected neurotoxoplasmosis was admitted to the hospital with vomiting and small nodules through all his body. Few of the nodules were found forming chains of enlarged lynphatic vessels, especially on lesions located on the limbs. Some of the nodules were ulcerated with a serosanguineos discharge. Collected samples from ulcerated and the nodular lesions showed the presence of Sporothrix schenckii in culture. Although all hemocultures were negative, a spinal fluid collected from this patient and cultures from the cutaneous lesions were both positive for S. schenckii. The patient showed improvement after treatment with Amphotericin B. Sadly, he later died of complications not related to the S. schenckii infection. This case of disseminated sporotrichosis is a remainder that in patients with immunological disorders exotic forms of this fungal clinical entity could be expected. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Un paciente con VIH e historia de tuberculosis con sospecha de una neurotoxoplasmosis, fue admitido en el hospital con vómitos y con pequeños nódulos en todo el cuerpo. Algunos de los nódulos fueron observados formando cadenas de vasos linfáticos agrandados, especialmente en las extremidades. Muestras colectadas de las lesiones ulceradas y nodulares fueron positivas en cultivo para Sporothrix schenckii. Aunque todos los hemocultivos fueron negativos, muestras tomadas de líquido cefalorraquideo y de las lesiones cutáneas fueron positivas para S. schenckii. El paciente respondió al tratamiento con anfotericina B. Sin embargo, murió más tarde por complicaciones no relacionadas con la infección. Este caso de esporotricosis diseminada es un llamada de atención para recodar que en pacientes con desordenes immunológicos pueden producirse formas exóticas de la enfermedad. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	A male patient with HIV and past history of tuberculosis and suspected neurotoxoplasmosis was admitted to the hospital with vomiting and small nodules through all his body. Few of the nodules were found forming chains of enlarged lynphatic vessels, especially on lesions located on the limbs. Some of the nodules were ulcerated with a serosanguineos discharge. Collected samples from ulcerated and the nodular lesions showed the presence of Sporothrix schenckii in culture. Although all hemocultures were negative, a spinal fluid collected from this patient and cultures from the cutaneous lesions were both positive for S. schenckii. The patient showed improvement after treatment with Amphotericin B. Sadly, he later died of complications not related to the S. schenckii infection. This case of disseminated sporotrichosis is a remainder that in patients with immunological disorders exotic forms of this fungal clinical entity could be expected. [ABSTRACT FROM AUTHOR]
ISSN:	11301406