Feohifomicose subcutânea por Exophiala jeanselmei em um transplantado cardíaco
We report a case of phaeohyphomycosis caused by Exophiala jeanselmei in a cardiac transplant recipient maintained on immunosuppressive therapy with mycophenolate mofetil tacrolimus and prednisone. The lesion began after trauma on the right leg that evolved to multiple lesions with nodules and ulcers...
| Autores: | , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2005 |
| País: | Brasil |
| Institución: | Instituto de Medicina Tropical (IMT) |
| Repositorio: | Revista do Instituto de Medicina Tropical de São Paulo |
| Idioma: | inglés |
| OAI Identifier: | oai:revistas.usp.br:article/30884 |
| Acceso en línea: | https://www.revistas.usp.br/rimtsp/article/view/30884 |
| Access Level: | acceso abierto |
| Palabra clave: | Exophiala jeanselmei Phaeohyphomycosis Subcutaneous infections |
| Sumario: | We report a case of phaeohyphomycosis caused by Exophiala jeanselmei in a cardiac transplant recipient maintained on immunosuppressive therapy with mycophenolate mofetil tacrolimus and prednisone. The lesion began after trauma on the right leg that evolved to multiple lesions with nodules and ulcers. Diagnosis was performed by histological examination and culture of pus from skin lesions. Treatment consisted of itraconazole (200 mg/day) for three months with no improvement and subsequently with amphotericin B (0.5 mg/Kg per day to a total of 3.8 g intravenously). After four months of treatment, the lesions showed marked improvement with reduction in the swelling and healing of sinuses and residual scaring. |
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