Lomelí VR, García RMT

Language: Spanish
References: 13
Page: 397-401
PDF size: 169.15 Kb.

ABSTRACT

Dermatological manifestations of fungal opportunistic infections are frequent in immunosuppressed pediatric patients and can lead to early diagnosis, however there are few reports of these clinical manifestations in pediatric patients. This is an observational, retrospective, cross-sectional and descriptive study. We describe dermatological manifestations at the time of diagnosis presented in patients with fungal opportunistic infections reported in the National Institute of Pediatrics. Fifty seven patients with a mean age of six years (SD ± 4.7) were included in the study. The main comorbid diseases were primary immunodeficiencies, malignant neoplasms and pulmonary diseases. The main agents isolated were Aspergillus spp. in 54.3% (n = 31) and Candida spp. in 42.1% (n = 24). Although manifestations varied depending on the etiological agent, in general manifestations reported were disseminated erythematous macules and papules, except in patients with zygomycosis in whom localized necrotic ulcers were found. Therefore, deep fungal infections should be suspected in immunosuppressed pediatric patients presenting with this type of dermatological lesions to establish an early and prompt diagnosis.

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