Castrejón O V, Robles M, Zubieta Arroyo O E
Instituto Nacional de Diagnóstico y Referencia Epidemiológica INDRE, Departamento de Parasitología, Col. Sto. Thomás, Mexico, D.F.
Mycoses. 1995 Sep-Oct;38(9-10):373-6. doi: 10.1111/j.1439-0507.1995.tb00067.x.
A clinical case is reported of a 78-year-old male with antecedents of diabetes and alcoholism who was hospitalized because he showed cutaneous lesions on the face and extremities suggesting cutaneous tuberculosis, but after a first histological study cutaneous leishmaniasis was erroneously diagnosed. Because of some unusual characteristics of the patient, the skin biopsies were carefully re-examined, as well as blood smears, which revealed elongated yeast form-like cells suggestive of Sporothrix schenckii. The diagnosis was confirmed when the fungus grew in mice and in Sabouraud cultures inoculated with blood samples from the patient. It is recommended that Sp. schenckii is included in the differential diagnosis of ulcerative cutaneous lesions in patients from Mexican humid areas.
报告了一例临床病例，患者为一名78岁男性，有糖尿病和酗酒史，因面部和四肢出现提示皮肤结核的皮肤病变而住院，但在首次组织学研究后被错误诊断为皮肤利什曼病。由于患者有一些不寻常的特征，对皮肤活检以及血涂片进行了仔细复查，发现了类似酵母样的细长细胞，提示申克孢子丝菌。当从患者血液样本接种的小鼠和沙保弱培养基中培养出真菌时，诊断得到证实。建议将申克孢子丝菌纳入墨西哥潮湿地区溃疡性皮肤病变患者的鉴别诊断中。
