| Autor: |
Alison M, Schram, Brian, Kim, Casey, Carlos, Michael T, Tetzlaff, Mindy, Schuster, Misha, Rosenbach |
| Rok vydání: |
2014 |
| Předmět: |
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| Zdroj: |
Cutis. 93(4) |
| ISSN: |
2326-6929 |
| Popis: |
We report the case of a 61-year-old man with diffuse large B-cell lymphoma who presented with a tender skin lesion on the left side of the flank of 5 weeks' duration after undergoing myeloablative chemotherapy. Prior treatment with intravenous vancomycin showed minimal response. Clinical examination revealed a tender, indurated, erythematous plaque on the left side of the flank. A skin biopsy demonstrated a lymphohistiocytic and neutrophilic infiltrate with deep dermal necrosis and fungal forms in the dermis and subcutis. A tissue culture grew Candida tropicalis; however, blood cultures remained negative for yeast. A diagnosis of primary cutaneous candidiasis was made based on the lack of response to antibiotics, tissue evidence of C tropicalis, and negative blood cultures. Although rare, primary cutaneous candidiasis should be considered in immunocompromised patients presenting with cellulitis or an abscess that is unresponsive to treatment. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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