Puiatti P, Alberico G, Cotilli G, Salvai M, Goitre M
Istituto di Clinica Dermatologica I, Università degli Studi di Torino.
G Ital Dermatol Venereol. 1990 Aug;125(7-8):349-52.
The Authors describe two cases of Sporotrichoid infection characterized by the onset, above previous skin accidental injuries, of a papulo-pustular lesion, with further development of centripetal satellite lesions similar to the first one. A precise etiological definition was possible only after the cultural,l mycological and bacteriological examination of biopsy material. The very similar clinical features of the two cases were due to different etiological pathogens: Sporothrix schenckii in one case and Mycobacterium marinum in the other case. A complete healing of the skin lesion was obtained with Itraconazole in the first case and Rifampin in the second case.
作者描述了两例孢子丝菌样感染病例,其特征为在先前皮肤意外损伤部位上方出现丘疹脓疱性病变,并进一步发展为向心性卫星状病变,与首例相似。只有在对活检材料进行培养、真菌学和细菌学检查后,才能做出准确的病因诊断。这两例病例非常相似的临床特征是由不同的病原体引起的:一例为申克孢子丝菌,另一例为海分枝杆菌。第一例病例使用伊曲康唑,第二例病例使用利福平,皮肤病变均完全愈合。