RESUMO
BACKGROUND: White piedra is a fungal infection of the hair shaft caused by species of Trichosporon. Rarely has this infection been reported in the United States. Historically, infected individuals required shaving of their hair to achieve clearance of the infection. OBJECTIVE: We sought to describe 8 cases of Trichosporon scalp infections seen in the northeastern United States. METHODS: We conducted chart review and prospective evaluation of 7 girls and 1 boy seen in two dermatology practices in New Haven, Conn, and New York, NY. RESULTS: Seven girls, ages 4 to 16 years old, and one 4-year-old boy were determined to have Trichosporon scalp infection, all through culture. Of the 8 children who were available for follow-up, 7 had clearance of their infection with a combination of oral azole antifungal medication and azole antifungal shampoo, without shaving the scalp hair. LIMITATIONS: This was a sample of patients from a localized region of the United States. CONCLUSIONS: White piedra is emerging as a commonly seen hair and scalp infection in the northeastern United States. Contrary to prior publications, scalp and hair infection may be successfully treated with a combination of oral azole antifungals and shampoos without shaving the scalp.
Assuntos
Piedra/epidemiologia , Trichosporon/isolamento & purificação , Administração Oral , Adolescente , Antifúngicos/administração & dosagem , Antifúngicos/uso terapêutico , Criança , Pré-Escolar , Connecticut/epidemiologia , Diagnóstico Diferencial , Feminino , Fluconazol/administração & dosagem , Fluconazol/uso terapêutico , Cabelo/microbiologia , Preparações para Cabelo , Humanos , Cetoconazol/administração & dosagem , Cetoconazol/uso terapêutico , Infestações por Piolhos/diagnóstico , Masculino , México/etnologia , Cidade de Nova Iorque/epidemiologia , Piedra/diagnóstico , Piedra/tratamento farmacológico , Piedra/microbiologia , Reino Unido/etnologia , Iêmen/etnologiaRESUMO
Leprosy control activities in Yemen are reviewed historically and up to the present time. Since 1983 the World Health Organization's multidrug therapy has been used in the National Leprosy Control Programme. Current activities are carried out in 63 leprosy clinics distributed all over the country and staffed by trained primary health care workers and medical assistants. In Yemen leprosy prevalence has declined from 1400 per 10,000 population in 1990 to 647 in 1997. Over the same period, new case detection rates per 10,000 population increased from 185 to 517. A backlog of leprosy cases continues to transmit the disease in Yemen.
Assuntos
Hanseníase/epidemiologia , Hanseníase/etnologia , Hanseníase/prevenção & controle , Iêmen/epidemiologia , Iêmen/etnologiaRESUMO
This paper reports on 2 hemolytic serious reactions in 2 Arabian patients because of the use of primaquine as presumptive antimalarial treatment given in Cuba to all travellers from countries where malaria is endemic. Taking into account the non-existence of imported malaria cases in travellers from the Arab-world since more then 15 years and the frequency of individuals presenting with glucose-6-phosphate dehydrogenase deficiency it is recommended not to use this therapeutic procedure, and to maintain the rest of surveillance measures to all travellers from such region.