Talhari Carolina, Rabelo Renata, Nogueira Lisiane, Santos Mônica, Chrusciak-Talhari Anette, Talhari Sinésio
University of the Amazon State - Manaus, Brazil.
An Bras Dermatol. 2010 Mar-Apr;85(2):239-40. doi: 10.1590/s0365-05962010000200019.
A case of lobomycosis in a patient from the Brazilian Amazon region is presented. Lobomycosis is a subcutaneous mycosis caused by the yeast Lacazia loboi. It often affects adult males and has been reported in dolphins. Therapeutical options for localized lesions, such as the ones shown by the patient in this report, are eletrocoagulation, surgical exeresis, and cryotherapy. Disseminated lesions may be treated with Itraconazole or combination therapy with Clofazimine. There is still no curative therapy for disseminated lesions of lobomycosis.
本文报告了一例来自巴西亚马逊地区患者的芽生菌病病例。芽生菌病是一种由罗博真菌(Lacazia loboi)引起的皮下真菌病。该病常影响成年男性,在海豚中也有报道。对于局限性病变,如本报告中患者所表现的病变,治疗选择包括电凝术、手术切除和冷冻疗法。播散性病变可用伊曲康唑或与氯法齐明联合治疗。目前对于芽生菌病的播散性病变仍没有治愈性疗法。