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Vol. 14. Issue 3.
Pages 443-449 (May - June 2008)
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Vol. 14. Issue 3.
Pages 443-449 (May - June 2008)
Caso Clínico
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Esporotricose disseminada – Caso clínico e discussão
Disseminated sporotrichosis – Clinical case and discussion
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João Cláudio Barroso Pereira1, Amorita Grijó2, Rosângela Ribeiro Machado Pereira3, Andreza Noel S Oliveira4, Ana Cláudia de Andrade4, Ana Cláudia M Ferreira4, Christiane Corrêa Brant Machado4, Débora Veiga Coutinho4, Danilo Vale Rios4, Bárbara Pereira Pires4, Roberto Silveira5,
1 Médico do CRA-DIP do Hospital Municipal Nelson de Sá Earp e do Programa de Controle da Tuberculose da SMS-Petrópolis e do Serviço de Atendimento Especializado da SMS-Belford Roxo – Rio de Janeiro Brasil
2 Médica do DIP do Hospital Municipal Nelson de Sá Earp e Professora da Faculdade de Medicina – Petrópolis
3 Médica radiologista do Hospital Estadual Carlos Chagas e Hospital Municipal Rocha Maia – Rio de Janeiro
4 Alunos do 5.° ano do curso de Medicina da Faculdade de Medicina de Petrópolis
5 Director do Hospital Municipal Nelson de Sá Earp (HMNSE)
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Resumo

Os autores relatam caso de doente com história prévia de alcoolismo que apresentou lesões cutâneas ulceradas, nodulares difusas no tronco e nos membros inferiores, acompanhando trajecto dos linfonodos. A doente tinha telerradiografia de tórax que mostrou infiltrado intersticial reticulonodular nas bases. O resultado da cultura de nódulo supraclavicular foi positiva para Sporothrix schenckii. Após tratamento específico, principalmente com iodeto de potássio, houve regressão das lesões cutâneas e do infiltrado.

Foi considerada uma discussão sobre as formas de apresentação da doença, ressaltando o acometimento pulmonar. Foram também abordados diagnóstico e tratamento da esporotricose.

Palavras-chave:
Esporotricose
lesões cutâneas
infiltrado intersticial nas bases
Abstract

The authors report a case of a patient with a prior history of alcohol abuse who developed nodules and ulcerated skin lesions on his trunk and lower extremities along the line of the lymphatic draining area. The patient's X-ray showed reticular nodular intersticial infiltrates at the lung bases. There was a positive culture of supraclavicular lymph node for Sporothrix schenckii. After specific treatment using mainly potassium iodide, there was regression of cutaneous lesions and lung infiltrates.

The authors present a discussion on the deseases’ forms of presentation, highlighting the lung involvement ans further discuss the diagnosis and treatment of sporotrichosis.

Key-words:
Sporotrichosis
cutaneous lesions
intersticial infiltrates of lung bases
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Trabalho apresentado sob forma de poster no XXII Congresso de Pneumologia e IV Congresso Luso-Brasileiro de Pneumologia pelo médico João Cláudio Barroso Pereira.

Copyright © 2008. Sociedade Portuguesa de Pneumologia
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