Se presenta el caso de un paciente a quien se le diagnosticó una Infección de Transmisión Sexual ... more Se presenta el caso de un paciente a quien se le diagnosticó una Infección de Transmisión Sexual (ITS) por la técnica de PCR múltiple y en quién se logró por esta técnica, detectar cuatro agentes diferentes simultáneamente: Neisseria gonorreae, Mycoplasma hominis, Ureaplasma urealyticum/parvum y Trichomonas vaginalis, situación esta, que no hubiera sido posible utilizando el procedimiento estándar.
Revista do Instituto de Medicina Tropical de São Paulo, 1998
The records of the first two Colombian patients with AIDS and paracoccidioidomycosis are presente... more The records of the first two Colombian patients with AIDS and paracoccidioidomycosis are presented. Both patients were males and had no known risk factors for HIV although in the past they had worked in the field where they could have been infected with the fungus. They exhibited the juvenile type of disease with multiple organ system involvement and symptoms of short duration. They were deeply immunodepressed as indicated by less than 100 CD4 T lymphocytes per mL; however, serologic tests revealed circulating anti-Paracoccidioides brasiliensis antibodies and in one patient the first diagnostic clue came from such tests. In one case, the mycosis preceded the AIDS diagnosis while in the other, both pathologies were discovered simultaneously. Antimycotic therapy with itraconazole was administered for over 10 months, with an initial dose of 200 mg/day followed by 100 mg/day; marked improvement of the mycotic signs and symptoms was soon noticed an there have been no signs of relapse. The patients improvement was also due to the combined retroviral treatment that was instituted. In spite of the rarity of the AIDS-paracoccidioidomycosis association, physicians practicing in endemic areas should consider the presence of the mycosis in immunosuppressed patients, since a prompt diagnosis and institution of combined antimycotic-anti-retroviral treatments would result in patient improvement and survival. It appears possible that the longer survival time of today's AIDS patients would give the quiescent fungus the opportunity to revive, multiply and cause overt disease.
A case of sinusitis caused by the basidiomycete Schizophyllum commune is reported in a 36-year-ol... more A case of sinusitis caused by the basidiomycete Schizophyllum commune is reported in a 36-year-old female with a history of allergic rhinitis and dermatitis. The patient presented with sudden nasal obstruction, purulent nasal discharge, headache and general discomfort. Computer tomography revealed extensive opacity of the left maxillary sinus as well as erosion of the nasal wall and maxillary bone. Mycological examinations of nasal discharges and material aspirated during anthrostomy showed hyaline, septate hyphae with rare spicules. Primary isolation yielded a white, woolly mould which demonstrated clamp connections and basidiocarp primordia but these characteristics were lost in subculture. Identification was confirmed by vegetative compatibility studies. The patient was treated with itraconazole to avoid possible postsurgical dissemination. Three months after cessation of therapy, no recurrence of infection had occurred.
Se estudiaron trece pacientes sometidos a hiposensibilización, quienes presentaron abcesos subcut... more Se estudiaron trece pacientes sometidos a hiposensibilización, quienes presentaron abcesos subcutáneos después de la inyección aeroalergenos (AEA). El examen microbiológico del material obtenido permitió identificar Mycobacterium chelonae subespecies abscessus, en 11 de ...
RESUMEN Se presenta un caso clínico de un paciente a quien se le diagnosticó una uretritis por Tr... more RESUMEN Se presenta un caso clínico de un paciente a quien se le diagnosticó una uretritis por Trichomonas vaginalis y se discuten algunos aspectos relacionados con otros casos infor mados en la literatura con énfasis en aspectos clínicos, de diagnóstico y tratamiento. Adicionalmente, se recomienda estandarizar un protocolo de laboratorio, que permita incluir el estudio de tricomoniasis en pacientes con uretritis Palabras clave: Uretritis, Trichomonas vaginalis) manifestaciones clínicas, laboratorio y tratamiento 1 Bacterióloga. Laboratorio Clínico del Centro Médico de la Congregación Mariana) Medellín. Colombia SAo 2 Médico especialista en Microbiología y Parasitología Médicas Separatas: Apartado aéreo 62320. Medellín) Colombia SAo •
Se presenta el caso de un paciente a quien se le diagnosticó una Infección de Transmisión Sexual ... more Se presenta el caso de un paciente a quien se le diagnosticó una Infección de Transmisión Sexual (ITS) por la técnica de PCR múltiple y en quién se logró por esta técnica, detectar cuatro agentes diferentes simultáneamente: Neisseria gonorreae, Mycoplasma hominis, Ureaplasma urealyticum/parvum y Trichomonas vaginalis, situación esta, que no hubiera sido posible utilizando el procedimiento estándar.
Revista do Instituto de Medicina Tropical de São Paulo, 1998
The records of the first two Colombian patients with AIDS and paracoccidioidomycosis are presente... more The records of the first two Colombian patients with AIDS and paracoccidioidomycosis are presented. Both patients were males and had no known risk factors for HIV although in the past they had worked in the field where they could have been infected with the fungus. They exhibited the juvenile type of disease with multiple organ system involvement and symptoms of short duration. They were deeply immunodepressed as indicated by less than 100 CD4 T lymphocytes per mL; however, serologic tests revealed circulating anti-Paracoccidioides brasiliensis antibodies and in one patient the first diagnostic clue came from such tests. In one case, the mycosis preceded the AIDS diagnosis while in the other, both pathologies were discovered simultaneously. Antimycotic therapy with itraconazole was administered for over 10 months, with an initial dose of 200 mg/day followed by 100 mg/day; marked improvement of the mycotic signs and symptoms was soon noticed an there have been no signs of relapse. The patients improvement was also due to the combined retroviral treatment that was instituted. In spite of the rarity of the AIDS-paracoccidioidomycosis association, physicians practicing in endemic areas should consider the presence of the mycosis in immunosuppressed patients, since a prompt diagnosis and institution of combined antimycotic-anti-retroviral treatments would result in patient improvement and survival. It appears possible that the longer survival time of today's AIDS patients would give the quiescent fungus the opportunity to revive, multiply and cause overt disease.
A case of sinusitis caused by the basidiomycete Schizophyllum commune is reported in a 36-year-ol... more A case of sinusitis caused by the basidiomycete Schizophyllum commune is reported in a 36-year-old female with a history of allergic rhinitis and dermatitis. The patient presented with sudden nasal obstruction, purulent nasal discharge, headache and general discomfort. Computer tomography revealed extensive opacity of the left maxillary sinus as well as erosion of the nasal wall and maxillary bone. Mycological examinations of nasal discharges and material aspirated during anthrostomy showed hyaline, septate hyphae with rare spicules. Primary isolation yielded a white, woolly mould which demonstrated clamp connections and basidiocarp primordia but these characteristics were lost in subculture. Identification was confirmed by vegetative compatibility studies. The patient was treated with itraconazole to avoid possible postsurgical dissemination. Three months after cessation of therapy, no recurrence of infection had occurred.
Se estudiaron trece pacientes sometidos a hiposensibilización, quienes presentaron abcesos subcut... more Se estudiaron trece pacientes sometidos a hiposensibilización, quienes presentaron abcesos subcutáneos después de la inyección aeroalergenos (AEA). El examen microbiológico del material obtenido permitió identificar Mycobacterium chelonae subespecies abscessus, en 11 de ...
RESUMEN Se presenta un caso clínico de un paciente a quien se le diagnosticó una uretritis por Tr... more RESUMEN Se presenta un caso clínico de un paciente a quien se le diagnosticó una uretritis por Trichomonas vaginalis y se discuten algunos aspectos relacionados con otros casos infor mados en la literatura con énfasis en aspectos clínicos, de diagnóstico y tratamiento. Adicionalmente, se recomienda estandarizar un protocolo de laboratorio, que permita incluir el estudio de tricomoniasis en pacientes con uretritis Palabras clave: Uretritis, Trichomonas vaginalis) manifestaciones clínicas, laboratorio y tratamiento 1 Bacterióloga. Laboratorio Clínico del Centro Médico de la Congregación Mariana) Medellín. Colombia SAo 2 Médico especialista en Microbiología y Parasitología Médicas Separatas: Apartado aéreo 62320. Medellín) Colombia SAo •
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