Erythema nodosum in pregnant patients with coccidioidomycosis
| Autor: | Edward L. Arsura, Saman N. Ratnayake, William B. Kilgore |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Microbiology (medical)
Adult medicine.medical_specialty Antifungal Agents Population Erythema Nodosum Pregnancy Epidemiology medicine Humans Disseminated disease Risk factor Pregnancy Complications Infectious skin and connective tissue diseases education Mycosis Retrospective Studies Erythema nodosum education.field_of_study Coccidioidomycosis integumentary system business.industry Retrospective cohort study medicine.disease Prognosis Dermatology Surgery Infectious Diseases Treatment Outcome Female business |
| Zdroj: | Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 27(5) |
| ISSN: | 1058-4838 |
| Popis: | Pregnant patients with coccidioidomycosis develop dissemination and serious disease more frequently than do the general population. To assist in prognosis and management, we analyzed the significance of erythema nodosum in pregnant patients with coccidioidomycosis. Sixty-one pregnant patients (mean age +/- SD, 26.4 +/- 6.3 years) were evaluated. Seventy percent of the patients were Hispanic; 15%, African American; 13%, Caucasian; and 2%, unknown race. Of the 30 patients (49%) who developed erythema nodosum, 0 had disseminated disease (P = .001), 1 (3%) with pulmonary involvement required therapy for > 1 year, and 29 (97%) recovered (P = .0008). Of the 31 patients (51%) without erythema nodosum, 11 (35%) had disseminated disease, 12 (39%) required therapy for > 1 year, 17 (55%) recovered, 1 (3%) died, and 1 (3%) had an outcome that was unknown. Erythema nodosum appears to be a salient marker of a positive outcome for pregnant patients, more so than for the general population. |
| Databáze: | OpenAIRE |
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