Zaror L, Moreno M I, Hering M, Siegmund I, Norambuena L
Instituto de Microbiología Clínica, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile.
Rev Med Chil. 1997 Aug;125(8):922-6.
We report an eight years old boy presenting with a pyogenic granuloma of the scalp, generalized alopecia, descamative plates in the neck, trunk and limbs and nail involvement. Cultures for fungus of all these lesions disclosed Microspore canis. The patient was treated with oral griseofulvin, miconazole and topical tolnaftate. Five years later and after several incomplete treatments, the patient returns with a fistulous mass of 15 x 8 cm in the dorsal area whose culture revealed Microspore canis. The mass was excised and oral ketoconazole was indicated. After three months of follow up, the patient was lost from control.
我们报告一名8岁男孩,患有头皮化脓性肉芽肿、全身性脱发、颈部、躯干和四肢有鳞屑性斑块以及指甲受累。对所有这些皮损进行真菌培养,发现犬小孢子菌。患者接受口服灰黄霉素、咪康唑和外用特比萘芬治疗。五年后,经过几次不完整的治疗,患者背部出现一个15×8厘米的瘘管性肿块,其培养显示为犬小孢子菌。切除该肿块并给予口服酮康唑。随访三个月后,患者失访。