Ochoa-Reyes Juan, Ramos-Martínez Ernesto, Treviño-Rangel Rogelio, González Gloria M, Bonifaz Alexandro
Chihuahua, Chihuahua, Chih, México.
Departamento de Microbiología, Escuela de Medicina, Universidad Autónoma de Nuevo León, México.
Rev Chilena Infectol. 2018;35(1):83-87. doi: 10.4067/s0716-10182018000100083.
Sporotrichosis is the most common subcutaneous or implantation mycosis in Mexico. The case of a preauricular cutaneous-fixed sporotrichosis simulating atypical bacterial cellulitis is reported in an elderly patient with no history of trauma. The biopsy showed a suppurative granuloma with scarce yeast. Sporothrix schenckii was identified in the culture and confirmed by molecular biology. She was treated with itraconazole and a clinical and mycological cure was obtained. The case of atypical presentation is presented, coming from a semi-arid zone with extreme weather.
孢子丝菌病是墨西哥最常见的皮下或植入性真菌病。本文报道了一例老年患者的耳前皮肤固定型孢子丝菌病，该病例模拟非典型细菌性蜂窝织炎，患者无创伤史。活检显示为化脓性肉芽肿，酵母数量稀少。在培养物中鉴定出申克孢子丝菌，并通过分子生物学得到证实。患者接受伊曲康唑治疗，获得了临床和真菌学治愈。本文介绍了这例非典型表现的病例，该病例来自一个气候极端的半干旱地区。
