Ferchichi L, Mekni A, Bellil K, Haouet S, Zeddini A, Bellil S, Kchir N, Cherif F, Ben Osman A, Zitouna M
Service d'Anatomie et de Cytologie Pathologiques, Hôpital La-Rabta, 1007 Bab-Saadoun, Tunis.
Med Mal Infect. 2006 May;36(5):285-7. doi: 10.1016/j.medmal.2006.01.006. Epub 2006 Jun 30.
Blastomycosis is a rare mycotic infection in Africa. Isolated cutaneous disease is extremely rare. We report three cases of cutaneous blastomycosis confirmed by istologic and mycologic examination. No visceral involvement was found. Blastomycosis is rare in Tunisia. The most common site of involvement is the lung. The three cases reported presented with skin involvement only, suggesting a cutaneous inoculation of Blastomyces dermatitidis. The diagnostic criteria of cutaneous blastomycosis are discussed.
芽生菌病在非洲是一种罕见的真菌感染。孤立的皮肤疾病极为罕见。我们报告3例经组织学和真菌学检查确诊的皮肤芽生菌病病例。未发现内脏受累情况。芽生菌病在突尼斯很罕见。最常见的受累部位是肺部。所报告的3例病例仅表现为皮肤受累,提示皮炎芽生菌的皮肤接种。本文讨论了皮肤芽生菌病的诊断标准。