Cutaneous histoplasmosis disclosing an HIV-infection

被引:5
作者
Marques, Silvio Alencar [1 ]
Cavariani Silvares, Maria Regina [1 ]
Pires de Camargo, Rosangela Maria [1 ]
Alencar Marques, Mariangela Esther [1 ]
机构
[1] Univ Estadual Paulista, Dept Dermatol & Radiotherapy, Sao Paulo State Univ, Botucatu Med Sch,Fac Med Botucatu,FMB UNESP, Botucatu, SP, Brazil
关键词
Acquired immunodeficiency syndrome; Amphotericin B; Histoplasmosis; CAPSULATUM;
D O I
10.1590/abd1806-4841.20131812
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Histoplasmosis is a systemic mycosis endemic in extensive areas of the Americas. The authors report on an urban adult male patient with uncommon oral-cutaneous lesions proven to be histoplasmosis. Additional investigation revealed unnoticed HIV infection with CD4+ cell count of 7/mm(3). The treatment was performed with amphotericin B, a 2065 mg total dose followed by itraconazole 200mg/daily plus antiretroviral therapy with apparent cure. Histoplasmosis is an AIDS-defining opportunistic disease process; therefore, its clinical diagnosis must drive full laboratory investigation looking for unnoted HIV-infection.
引用
收藏
页码:420 / 423
页数:4
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