摘要
Sporotrichosis is a subcutaneous mycosis caused by the Sporothrix schenckii complex. It has three classic clinical variants: fixed, lymphangitic, and systemic. Treatment in most cases has been itraconazole or potassium iodide. The aim of this paper is to communicate an unusual relapsing case treated with IK. We report a 73-year-old woman with lymphangitic sporotrichosis, adequate response to treatment with potassium iodide, and recurrence 15 months after. A molecular test was performed through the amplification of a 331 bp fragment of the calmodulin gene. In both infections, the same specie was isolated. The effects of potassium iodide are briefly discussed, and we conclude that the same treatment can be prescribed, if no side effects are observed.
Sporotrichosis is a subcutaneous mycosis caused by the Sporothrix schenckii complex. It has three classic clinical variants: fixed, lymphangitic, and systemic. Treatment in most cases has been itraconazole or potassium iodide. The aim of this paper is to communicate an unusual relapsing case treated with IK. We report a 73-year-old woman with lymphangitic sporotrichosis, adequate response to treatment with potassium iodide, and recurrence 15 months after. A molecular test was performed through the amplification of a 331 bp fragment of the calmodulin gene. In both infections, the same specie was isolated. The effects of potassium iodide are briefly discussed, and we conclude that the same treatment can be prescribed, if no side effects are observed.
作者
Eder R. Juárez-Durán
Sabrina Escandón-Pérez
Fritz Cajuste-Sequeira
Luis M. Sánchez-Navarro
Carlos A. Barrera-Ochoa
Rigoberto Hernández-Castro
Roberto Arenas
Eder R. Juárez-Durán;Sabrina Escandón-Pérez;Fritz Cajuste-Sequeira;Luis M. Sánchez-Navarro;Carlos A. Barrera-Ochoa;Rigoberto Hernández-Castro;Roberto Arenas(General Hospital, Mexico City, Mexico;ángeles Lomas Hospital, Mexico City, Mexico;La Habana University, Havana, Cuba;Dermatologist, General Hospital, Oaxaca, Mexico;General Hospital, Mexico City, Mexico;Pathogen Ecology Department, General Hospital, Mexico City, Mexico)
