2009, Number 4
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Med Cutan Iber Lat Am 2009; 37 (4)
Folliculitis due to candida albicans in an intravenous drug-abuser
González-Guerra E, Haro R, Fariña M, Martín L, Requena L
Language: Spanish
References: 9
Page: 180-183
PDF size: 230.20 Kb.
ABSTRACT
Candidiasic folliculitis is an almost exclusive disease of intravenous brown heroin abusers. This entity is due to a systemic infection by
Cándida albicans. A 42 year- old man, HIV negative and intravenous drug abuser, who was referred with painful, follicular papules and pustules located on hairs regions, of the beard, scalp, thoracic and genital areas is reported. The patient had also fever, general discomfort and arthromialgias. The ophthalmologic examination demostrated bilateral, candidiasic retinitis and left acute anterior uveitis. Histopathological study showed follicular microabcess and slight inflammatory infiltrate with perifollicular arrangement and composed of lymphocytes and neutrophils. Culture of the biopsy specimen isolated
Candida albicans. In the decade of the nineties the incidence of the systemic candidiasis, diminished notably, being at present an exceptional entity although still it is necessary to be aware the process.
REFERENCES
Culligton PJ, Sorrel TC. Disseminated candidiasis: evidence of a distinctive syndrome in heroin abusers. Br Med J 1983; 287: 861-2.
Badillet G, Pietrini P, Puissant A. Pustuloses chez des heroinomanes. Ann Dermatol Venereol 1983; 110: 691-2.
Guerra A, Jaen P, Pulpillo A, Iglesias L. Foliculitis por Candida albicans en un heroinómano. Gaceta Dermatológica 1983; 2: 163-9.
Recio C, Piqué E, Lluch J, Vidal JM. Foliculitis or Candida en usuarios de drogas por vía parenteral. Enferm Infecc Microbiol Clin 2003; 21: 386-7.
Leclech C, Cimon B, Chennebault JM, Verret JL. Pustulose candidosique des heroinomanes. Ann Dermatol Venereol 1997; 124: 157-8.
Miro JM, Gatell JM, Brancos MA, Adan A, et al. Costocondritis, endoftalmitis y pustulosis por Candida albicans en un heroinómano de Barcelona. Med Clin 1984; 83: 475-7.
Cristobal P, Vázquez F, Requena L, Sánchez- Yus E. Foliculitis candidiásica en heroinómanos. Estudio histológico. Med Cutan Ibero Lat Am 1987; 15: 411-7.
Aliaga A, De la Cuadra J. Candidiasis en heroinómanos: aspectos clínico- patológicos. Comunicación en la VII Reunión Internacional de Dermatología de Barcelona, octubre 1984.
Martínez-Menchón T, Mahiques L, Fortea JM, Escrivá S. Pústulas en el cuero cabelludo y lesiones oftálmicas en consumidor de heroína marrón. Actas Dermosifiliogr 2004; 95: 325-7.