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ISSN 0210-5187 (Electronic)

2019, Number 3

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Med Cutan Iber Lat Am 2019; 47 (3)

Lymphangitic cutaneous sporotrichosis in treatment with cryosurgery and potassium yodide

Valdez-Velasco JJ, Pérez-Olivos ML, Valdez-Bernal JF, Mayorga-Rodríguez J

Language: Portugués
References: 22
Page: 219-222
PDF size: 344.66 Kb.


ABSTRACT

Sporotrichosis is a subcutaneous or deep mycosis, caused by a complex of fungi called Sporothrix schenckii, affecting skin and lymphatic tissue. It presents a male of 34 years, peasant. With dermatosis that affects the right arm, constituted by gums, and a warty plaque, of 10 weeks of evolution, after the trauma with the spine of Agave tequilana. A dermatoscopy revealed an erythematous plaque with a light brown melicric crust at its center and a perilesional erythematous-violaceous halo. It was isolated, strain of the Sporothrix schenckii complex, with diagnosis of a lymphangitic sporotrichosis. It was treated with potassium iodide and as a coadjuvant weekly cryosurgery with spray technique, during 3 sessions, with complete healing in 9 weeks. We highlight in this case: the combined therapy of potassium iodide with cryosurgery, the use of dermatoscopy as an auxiliary diagnostic tool and traumatic inoculation with Agave tequilana spine, which had not been described.


REFERENCES

  1. Bravo T. Esporotricosis: avances recientes en el diagnóstico de laboratorio, histopatología y la epidemiología en México. Rev Latinoamer Patol Clin. 2012; 59 (3): 147-171.

  2. Alvarado CA, Arias CW. Esporotricosis. Revista CIEZT. 2016; 16 (1): 147-156.

  3. Gaviria-Giraldo CM, Cardona-Castro N. Esporotricosis y cromoblastomicosis: revisión de la literatura. Rev CES Med. 2017; 31 (1): 77-91.

  4. Bove-Sevilla PM, Mayorga-Rodríguez J, Hernández Hernández O. Esporotricosis transmitida por gato doméstico. Reporte de un caso. Med Cutan Iber Lat Am. 2008; 36: 33-35.

  5. Bimbi C, Brzezinski P. Cutaneous sporotrichosis as an occupational disease: case report. Our Dermatol Online. 2017; 8 (1): 37-39.

  6. Venadero-Albarrán F, Rhony-Orellana AA, Castillón-Alcaraz SJ, Bonifaz A, Padilla-Desgarennes MC. Esporotricosis linfangítica. A propósito de diferentes alternativas de tratamiento. Dermatol Rev Mex. 2010; 54 (3): 145-149.

  7. Mayorga J, Martínez D, Méndez P. Aislamiento de Sporothrix schenckii en la naturaleza (suelos y plantas). Med Cutan Iber Lat Am. 1999; 27: 25-28.

  8. Mayorga J, Barba Rubio J, Muñoz-Estrada VF, Rangel Corte?s A et al. Esporotricosis en el estado de Jalisco, estudio clínico-epidemiológico (1960-1966). Dermatol Rev Mex. 1997; 41: 105-108.

  9. Arenas R. Micología médica ilustrada. 4° ed. Ciudad de México: McGraw-Hill Interamericana; 2011. pp. 147-158.

  10. Song Y, Li SS, Zhong SX, Liu YY, Yao L, Huo SS. Report of 457 sporotrichosis cases from Jilin province, northeast China, as serius endemic region. J Eur Acad Dermatol Venerol. 2013; 27: 313-318.

  11. Mahajan VK. Sporotrichosis: an overview and therapeutic options. Dermatol Res Pract. 2014; 272376. doi:10.1155/2014/272376.

  12. Bustamante B, Campos PE. Sporotrichosis treatment: overview and update. Curr Fungal Infect Rep. 2011; 5: 42-48.

  13. Macedo PM, Lopes-Bezerra LM, Bernardes-Engemann AR, Orofino-Costa R. New posology of potassium iodide for the treatment of cutaneous sporotrichosis: study of efficacy and safety in 102 patients. J Eur Acad Dermatol Venereol. 2015; 29: 719-724.

  14. Kauffman CA, Bustamante B, Chapman SW, Pappas PG. Clinical practice guideline for the management of sporotrichosis: 2007 update by the Infectious Disease Society of American, IDSA Guidel. Manag. Sporotrichosis. 2007; 45: 1255-1265.

  15. Reis ÉG, Schubach TM, Pereira SA, Silva JN, Carvalho BW, Quintana MS, Gremião ID Association of itraconazole and potassium iodide in the treatment of feline sporotrichosis: a prospective study. Med Mycol. 2016; 54 (7): 684-690.

  16. Souza CP, Lucas R, Ramadinha RH, Pires TB. Cryosurgery in association with itraconazole for the treatment of feline sporotrichosis. J Feline Med Surg. 2016; 18 (2): 137-143.

  17. Bargman H. Successful treatment of cutaneous sporotrichosis with liquid nitrogen: report of three cases. Mycoses. 1995; 38 (7-8): 285-287.

  18. Secchin P, Seabra GRP, Azulay DR, Fernandes NC, Ishida CE. Cryosurgery as an adjuvant treatment in sporotrichosis: a tree case report. Surg Cosmet Dermatol. 2017; 9 (3): 255-258.

  19. Castillo R, et al. Guía de uso de la criocirugía en atención primaria. Med Fam. 2002; 2(3): 114-122.

  20. Fichman V, Valle ACFd, de Macedo PM, Freitas DFS, Oliveira MMEd, Almeida-Paes R et al. Cryosurgery for the treatment of cutaneous sporotrichosis in four pregnant women. PLoS Negl Trop Dis. 2018; 12 (4): e0006434.

  21. Ferreira CP, Galhardo MC, Valle AC. Cryosurgery as adjuvant therapy in cutaneous sporotrichosis. Braz J Infect Dis. 2011; 15 (2): 181-183.

  22. Mackinnon JE, Conti-Diaz IA. The effect of temperature on sporotrichosis. Sabouraudia. 1962; 7: 38-45.




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