RESUMO
Tinea pedis in the most common type of dermatophytosis, but can mimic many cutaneous diseases and tend to be chronic. We present a study of the frequency, epidemiology and clinical aspects of tinea pedis in the central region of Rio Grande do Sul during the period 1988-1997.
Assuntos
Tinha dos Pés/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Brasil/epidemiologia , Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-IdadeRESUMO
Thirty-one cases of sporotrichosis diagnosed in the central region of Rio Grande do Sul from 1988 to 1997 were studied. Clinical data were compared with a study concerning three past decades, clearly showing a decrease in the incidence of the mycosis, and an alteration in the profile of the infection, with a decrease of sporotrichosis in rural patients, children, women and farmers. In the past decade the mycosis was most frequent among urban adults with different professions, with the onset of the disease being associated with rural leisure activities such as fishing and hunting.
Assuntos
Esporotricose/epidemiologia , Adolescente , Adulto , Brasil , Criança , Feminino , Humanos , MasculinoRESUMO
Relatam-se oito casos de criptococose não associada à AIDS diagnosticados em Santa Maria, RS, no período 1961-1995. É revisada a literatura sul-riograndense sobre a micose e comentada a prevalência da infecção pela var. neoformans em pacientes sem doença predisponente nas regiões subtropicais.
We report eight cases of cryptococcosis in non-AIDS patients diagnosed in Santa Maria, RS, during 1961-1995. A review of the literature is performed and the prevalence of the infection caused by var neoformans in patients without underlying disease in subtropical regions is commented.
Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Adolescente , Adulto , Pessoa de Meia-Idade , Criptococose/diagnóstico , Infecções Oportunistas Relacionadas com a AIDS , Antifúngicos , Anfotericina B/uso terapêutico , Antifúngicos/uso terapêutico , Brasil , Criptococose/tratamento farmacológico , Criptococose/microbiologia , Cryptococcus neoformans/isolamento & purificação , Quimioterapia Combinada , Flucitosina/uso terapêuticoRESUMO
São relatados 12 casos de cromoblastomicose diagnosticados no interior do Rio Grande do Sul, no período 1988-1995. Os aspectos clínicos e evolutivos são analisados e comparados com a literatura. O único agente isolado foi Fonsecaea pedrosoi.
Twelve cases of chromoblastomycosis diagnosed in Rio Grande do sul during 1988-1995 are reported. The clinical aspects are analyzed and compared with the literature. Fonsecaea pedrosoi was the only microorganism isolated.
Assuntos
Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cromoblastomicose/diagnóstico , Fungos Mitospóricos , Brasil , Cromoblastomicose/microbiologia , Fungos Mitospóricos/isolamento & purificaçãoRESUMO
Twelve cases of chromoblastomycosis diagnosed in Rio Grande do sul during 1988-1995 are reported. The clinical aspects are analyzed and compared with the literature. Fonsecaea pedrosoi was the only microorganism isolated.
Assuntos
Cromoblastomicose/diagnóstico , Fungos Mitospóricos , Adulto , Idoso , Brasil , Cromoblastomicose/microbiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fungos Mitospóricos/isolamento & purificaçãoRESUMO
We report a further case of peritonitis due to Trichosporon inkin in a patient undergoing continuous ambulatory peritoneal dialysis. Peritonitis caused by Trichosporon species is reviewed.
Assuntos
Micoses/diagnóstico , Diálise Peritoneal Ambulatorial Contínua/efeitos adversos , Peritonite/microbiologia , Trichosporon , Humanos , Masculino , Pessoa de Meia-IdadeAssuntos
Síndrome da Imunodeficiência Adquirida/complicações , Antifúngicos/uso terapêutico , Cryptococcus neoformans/efeitos dos fármacos , Cryptococcus neoformans/isolamento & purificação , Fluconazol/uso terapêutico , Meningite Criptocócica/tratamento farmacológico , Adulto , Resistência Microbiana a Medicamentos , Humanos , Masculino , Meningite Criptocócica/complicações , Testes de Sensibilidade MicrobianaRESUMO
We report eight cases of cryptococcosis in non-AIDS patients diagnosed in Santa Maria, RS, during 1961-1995. A review of the literature is performed and the prevalence of the infection caused by var neoformans in patients without underlying disease in subtropical regions is commented.
Assuntos
Criptococose/diagnóstico , Infecções Oportunistas Relacionadas com a AIDS , Adolescente , Adulto , Anfotericina B/uso terapêutico , Antifúngicos/uso terapêutico , Brasil , Pré-Escolar , Criptococose/tratamento farmacológico , Criptococose/microbiologia , Cryptococcus neoformans/isolamento & purificação , Quimioterapia Combinada , Feminino , Flucitosina/uso terapêutico , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
This paper reports a case of chronic necrotizing pulmonary aspergillosis in a patient without underlying disease. Aspergilluria was the starting point in the search for the origin of the pulmonary disease, later confirmed by an open lung biopsy.
Assuntos
Aspergilose/diagnóstico , Pneumopatias Fúngicas/diagnóstico , Aspergilose/urina , Biópsia , Brasil , Doença Crônica , Humanos , Pulmão/cirurgia , Pneumopatias Fúngicas/urina , Masculino , Pessoa de Meia-Idade , Necrose , Urina/microbiologiaRESUMO
We report a case of acute primary cutaneous infection of traumatic origin caused by Nocardia asteroides, appeared as cellulitis in a patient with systemic lupus erythematosus. Diagnosis was established by direct examination and cultures from aspirate specimens. The clinical forms of Nocardia infections that affect the skin, reported in Rio Grande do Sul and Uruguay, are discussed.
Assuntos
Celulite (Flegmão)/microbiologia , Lúpus Eritematoso Sistêmico/etiologia , Nocardia asteroides/patogenicidade , Doença Aguda , Feminino , Interações Hospedeiro-Parasita , Humanos , Lúpus Eritematoso Sistêmico/diagnóstico , Masculino , Pessoa de Meia-Idade , Nocardia asteroides/fisiologiaRESUMO
We report a case of peritonitis caused by Trichosporon beigelii in a 2-year-old child during treatment by continuous ambulatory peritoneal dialysis (CAPD). Diagnosis was established by direct examination and culture of dialysis effluent. Infections caused by Trichosporon beigelii in children are commented.
RESUMO
Two cases of peritonitis caused by Acremonium kiliense in patients receiving a continuous ambulatory peritoneal dialysis treatment are reported. Diagnosis was established by direct examination and cultures of dialysis effluent, secretion of catheter-exit-site and from the tip of the catheter. Management of fungal peritonitis includes catheter removal, since in this infection the result of systemic antifungal therapy is inconsistent.
Assuntos
Acremonium/isolamento & purificação , Diálise Peritoneal Ambulatorial Contínua , Peritonite/microbiologia , Criança , Humanos , Masculino , Pessoa de Meia-Idade , Peritonite/diagnósticoRESUMO
We report a case of kerionlike lesion of the scalp due to Acremonium kiliense in a boy without underlying disease. Diagnosis was established by direct examination and cultures from pus and scrapings.
Assuntos
Acremonium , Dermatomicoses/microbiologia , Dermatoses do Couro Cabeludo/microbiologia , Pré-Escolar , Humanos , MasculinoRESUMO
We report a case of mixed intranasal infection caused by Fusarium solani and a zygomycete, with probable sinus and brain involvement. The patient had chronic myelogenous leukaemia and was treated with chemotherapy. Diagnosis of the infection was established by direct examination of the intranasal eschar and histopathological study of an excisional biopsy. Only F. solani was isolated from both specimens. Difficulties in diagnosis and treatment of these infections are discussed.
Assuntos
Fungos/isolamento & purificação , Fusarium/isolamento & purificação , Leucemia Mielogênica Crônica BCR-ABL Positiva/complicações , Micoses/microbiologia , Cavidade Nasal , Doenças Nasais/microbiologia , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
A case of cutaneous zygomycosis caused by Absidia corymbifera in a leukemic patient submitted to chemotherapy is reported. The lesion was located on the little finger of the right hand and probably resulted from a latent osteomyelitis. It progressed to form extensive necrotic area. No systemic infection was detected and the lesion did not appear to be associated with any trauma.
Assuntos
Dermatomicoses/complicações , Leucemia Mieloide Aguda/complicações , Mucormicose/complicações , Adulto , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Dermatomicoses/microbiologia , Dermatomicoses/patologia , Humanos , Leucemia Mieloide Aguda/tratamento farmacológico , Masculino , Mucorales/isolamento & purificação , Mucormicose/microbiologia , Mucormicose/patologia , Osteomielite/complicações , Osteomielite/diagnóstico por imagem , Osteomielite/microbiologia , RadiografiaRESUMO
This paper reports a case of cutaneous infection of nontraumatic origin caused by Nocardia asteroides in a hospitalized patient with chronic obstructive pulmonary disease. Diagnosis was established by direct and histological examination, cultures from exudate and biopsy specimen. We discuss the classification of clinical forms of Nocardia infections affecting the skin.
Assuntos
Pneumopatias Obstrutivas/complicações , Nocardiose/complicações , Dermatopatias Bacterianas/etiologia , Idoso , Humanos , Masculino , Nocardia asteroides/isolamento & purificação , Dermatopatias Bacterianas/microbiologiaRESUMO
A case of peritonitis due to Curvularia lunata during continuous ambulatory peritoneal dialysis is reported. Diagnosis was established by culture of dialysis effluent and peritoneal exudate, and was also confirmed through histological examination.