Affordable Access

[Primary cutaneous histoplasmosis: case report on an immunocompetent patient and review of the literature].

Authors
  • Saheki, Mauricio Naoto
  • Schubach, Armando de Oliveira
  • Salgueiro, Mariza de Matos
  • Conceição-Silva, Fátima
  • Wanke, Bodo
  • Lazera, Márcia
Type
Published Article
Journal
Revista da Sociedade Brasileira de Medicina Tropical
Publisher
SciELO
Publication Date
Jan 01, 2008
Volume
41
Issue
6
Pages
680–682
Identifiers
PMID: 19142453
Source
Medline
License
Unknown

Abstract

This report describes a case of primary cutaneous histoplasmosis in a 45-year-old male. The presentation consisted of an erythematous nodule on the back of the right hand, accompanied by nontender regional lymphadenomegaly that developed following local trauma that occurred during military training in a tunnel inhabited by bats. Histological examination of a biopsy specimen from the skin lesion showed granulomatous infiltrate, but did not show fungal elements. Culturing of this material, incubated in Sabouraud agar, showed growth of Histoplasma capsulatum. No evidence of systemic involvement or immunosuppression was found. Treatment with 400 mg/day of itraconazole orally for six months resulted in complete remission of the lesion, which was maintained one year after the end of the treatment.

Report this publication

Statistics

Seen <100 times