After the initiation of highly active anti-retroviral therapy, one patient presented disseminated lesions, whereas
the other patient’s preexisting lesions worsened and became more extensive. Simultaneously, their CD4 T cell counts increased and HIV viral loads decreased. “
“We report on a dermatophyte infection acquired by a young woman from Germany who had worked in Ghana. The strain isolated from her skin lesions showed morphological and physiological features compatible with Microsporum audouinii but a clearly positive hair perforation test made its definite identification by conventional methods equivocal. A genetic analysis finally unambiguously revealed Microsporum audouinii. This is the first observation of a Microsporum audouinii strain with a positive hair perforation test. The ability to perforate hair may be related to attributes favouring an inflammatory host response. “
“Trichophyton mentagrophytes PF-6463922 clinical trial is one of Selleckchem MAPK Inhibitor Library the most common dermatophytes causing cutaneous human fungal disease
worldwide. Pubic and/or vulvar localisation of dermatophytosis has rarely been reported and may often be misdiagnosed as bacterial infections. We present a connubial case of severe inflammatory tinea in the genital region caused by T. mentagrophytes. The case illustrates the importance of getting material for cultivation before treatment and emphasises the difficulty of diagnosis Methamphetamine and treatment of fungal infections in the genital region. “
“Obwohl nur mäßig immunkompromittiert, erkrankte eine ältere Patientin an Pleuritis, die auf einer Aspergillus fumigatus-Mykose beruhte. Trotz annähernd 6 Monaten Therapie mit oralem Itraconazol erlag die Patientin schließlich der CNPA. Chronische Pleuritis ist offenbar häufig mit dieser seltenen Verlaufsform der Aspergillose assoziiert, die häufig eine schlechte Prognose aufweist. Though not overtly immunosuppressed, an elderly female patient suffered from chronic pleurisy due to Aspergillus
fumigatus. In spite of nearly six months of itraconzole-therapy, she eventually succumbed to CNPA. Pleurisy may be a typical manifestation of this rare mycosis which is often ill fated. “
“A 31-year-old male patient complained of having follicular and brownish red maculopapules along the Blaschko’s lines on the right chest for 2 days. On examination, follicular brownish maculopapules were present on the chest with a uniform size of about 3 mm in diameter. The lesions were isolated without a tendency to merge, giving several S-shaped, band-like appearances. Direct mycological examination of the skin flakes revealed many pseudomycelial hyphae and yeast cells with typical spaghetti and meatball appearance. Wood’s light examination of the lesion revealed a golden yellow fluorescence. A diagnosis of blaschkoid pityriasis versicolor was suggested because of blaschkoid distribution of the lesions in this new variant of PV.