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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/Clinical Case
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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
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.º ano do curso de Medicina da Faculdade de Medicina de Petrópolis
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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.

Rev Port Pneumol 2008; XIV (3): 443-449

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.

Rev Port Pneumol 2008; XIV (3): 443-449

Key-words:
Sporotrichosis
cutaneous lesions
intersticial infiltrates of lung bases
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