Silva C M, da Rocha R M, Moreno J S, Branco M R, Silva R R, Marques S G, Costa J M
Departamento de Patologia da Universidade Federal do Maranhão, São Luís.
Rev Soc Bras Med Trop. 1995 Jan-Mar;28(1):49-52. doi: 10.1590/s0037-86821995000100009.
During a survey of 30 patients with chromoblastomycosis followed at the Hospital dos Servidores do Estado do Maranhão, the authors observed in 2 (6.6%) patients with lesions on the buttock. This is an uncommon site for the initial lesions of chromoblastomycosis. There is often a history of microtraumatism during the farming job hence the more frequent development of lesions in the lower limbs. Both patients had 10 years disease, with the presence of nodules and vegetant warty lesions in coalescent plaques on the right buttock. Etiologic diagnosis made through histopatologic and culture exams, with Fonsecaea pedrosoi isolated. The epidemiological exposure of the patients, was suggested by the fact that both worked as babaçu coconut cutters a common activity in Maranhão State. The relation between this kind of professional activity and the development of infection merits for the investigation.
在对30例在马拉尼昂州州立职工医院接受随访的着色芽生菌病患者进行的一项调查中,作者在2例(6.6%)臀部有病变的患者中观察到这种情况。这是着色芽生菌病初始病变的一个不常见部位。在从事农活期间常有微创伤史,因此下肢病变更常见。两名患者病程均为10年,右侧臀部有融合斑块,伴有结节和疣状增殖性病变。通过组织病理学和培养检查进行病因诊断,分离出裴氏瓶霉。这两名患者均为巴巴苏椰子切割工人,这是马拉尼昂州的一项常见活动,提示了患者的流行病学暴露情况。这种职业活动与感染发生之间的关系值得研究。