Invasive aspergillosis in a user of inhaled cocaine: rhinosinusitis with bone and cartilage destruction
Rev. Soc. Bras. Med. Trop
; Rev. Soc. Bras. Med. Trop;47(4): 533-536, Jul-Aug/2014. graf
Article
em En
| LILACS
| ID: lil-722298
Biblioteca responsável:
BR1.1
ABSTRACT
Aspergillosis is an infection caused by saprophytic fungi of the genus Aspergillus, which typically occurs in immunosuppressed individuals, but has also been reported in immunocompetent patients. The main routes of entry are the respiratory tract, skin, cornea, and ear, and the infection may be localized or disseminated by contiguity or vascular invasion. We report a severe case of rhinosinusitis with cutaneous involvement, caused by invasive aspergillosis, in an immunocompetent user of inhaled cocaine. Invasive aspergillosis related to cocaine abuse has not yet been reported in the literature. After itraconazole treatment and surgical debridement, complete clinical remission was achieved. Nasal reconstruction with a skin graft over a silicone prosthesis resulted in a satisfactory esthetic outcome.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Aspergilose
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Sinusite
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Rinite
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Deformidades Adquiridas Nasais
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Transtornos Relacionados ao Uso de Cocaína
Limite:
Adult
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Female
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Humans
Idioma:
En
Revista:
Rev. Soc. Bras. Med. Trop
Assunto da revista:
MEDICINA TROPICAL
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Brasil