Fungal Infection from Sweeping in the Wrong Place  

Oleh:

Tang, Tommy Hing Cheung ; Tsang, Owen Tak Yin

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 364 no. 02 (Jan. 2011), page 364:e3.
Topik: Antecubital Fossa; Therapy Fluconazole
Fulltext: Fungal Infection.pdf (46.7KB)

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

A 43-year-old man presented with fever, malaise, a nonproductive cough, and skin lesions near the left eyelid and eyebrow (Panel A) and left antecubital fossa (Panel B). The symptoms had developed during the course of several weeks. The patient underwent a biopsy of the facial lesion. Histopathological analysis of the biopsy specimen revealed changes characteristic of coccidioidal infection, including granulomatous inflammation and spherules containing endospores (Panel C, arrow; hematoxylin and eosin). Antibodies to coccidioides species were present in his serum. Although the patient had no history of travel to an area where coccidioidomycosis is endemic, he worked as a driver unloading containers at a port. He occasionally swept out containers shipped from the United States. Infective arthroconidia may have been inadvertently transported along with goods shipped to Hong Kong and then inhaled by our patient after being aerosolized by his broom. After approximately 1 year of therapy with fluconazole, he was completely asymptomatic.

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