Suescun T D, Jaramillo J D, Prada S
Mycopathologia. 1977 Dec 16;62(2):97-102. doi: 10.1007/BF01259398.
Two cases of subcutaneous abscesses due to dematiaceous fungi are presented. The first, localized in the elbow, exhibited the characteristic microscopic picture of the disorder. The second was localized in the sole, but histologically it showed well-organized mycotic granules much like those reported for eumycetoma. Both patients were asymptomatic and the clinical diagnosis was erroneous. The morphologic, clinical and etiologic aspects are discussed in the text. These cases indicate the need to consider mycotic infections in the differential diagnosis of all lesions which clinically resemble subcutaneous abscesses, so that proper mycological studies can be done and the relationship between the process and the various etiologic agents implicated can be clarified.
本文报告了两例由暗色真菌引起的皮下脓肿病例。第一例位于肘部,呈现出该疾病典型的微观表现。第二例位于足底,但组织学检查显示其有组织良好的真菌颗粒,很像报道的足菌肿病例。两名患者均无症状,临床诊断有误。文中讨论了形态学、临床和病因学方面的问题。这些病例表明,在对所有临床上类似皮下脓肿的病变进行鉴别诊断时,需要考虑真菌感染,以便能够进行适当的真菌学研究,并阐明该病程与各种相关病原体之间的关系。