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Abscesos subcutaneos por hongos dematiaceos. presentación de dos casos

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Abstract

Two cases of subcutaneous abscesses due to dematiaceous fungi are presented. The first, localized in the elbow, exhibited the characteristic microscopic picture of the disorder. The second was localized in the sole, but histologically it showed well-organized mycotic granules much like those reported for eumycetoma. Both patients were asymptomatic and the clinical diagnosis was erroneous. The morphologic, clinical and etiologic aspects are discussed in the text. These cases indicate the need to consider mycotic infections in the differential diagnosis of all lesions which clinically resemble subcutaneous abscesses, so that proper mycological studies can be done and the relationship between the process and the various etiologic agents implicated can be clarified.

Resumen

Se presentan dos casos de abscesos subcutáneos por hongos dematiáceos. Uno de cellos con localización en miembro superior derecho y cuya lesión revistió el aspecto microscópico clásico. El otro caso, en planta derecha, cuyo aspecto histopatológico fue indistinguible del que présenta el eumicetoma. En ambos casos las lesiones fueron asintomáticas y el diagnóstico clinico fue erróneo. Se discuten los aspectos de morfologia, clinica, etiopatogenia y denominación de la entidad, los cuales no son claros.

Se sugiere tomar siempre muestras para cultivos (micológico y bacteriológico) a partir de lesiones que semejen la entidad clinica y además que se tenga en cuenta para el diagnóstico diferencial la posibilidad de formas incipientes del eumicetoma.

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Authors and Affiliations

  1. Departamento Patologia, Facultad de Medicina, Universidad de Antioquia, Medellin, Colombia

    David Suescun T.

  2. Departamento Medicina Interna, Sección Dermatologia, Universidad de Antioquia, Medellin, Colombia

    Diego Jaramillo J. & Stella Prada

Authors
  1. David Suescun T.
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  2. Diego Jaramillo J.
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  3. Stella Prada
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David Suescun, T., Diego Jaramillo, J. & Stella, P. Abscesos subcutaneos por hongos dematiaceos. presentación de dos casos. Mycopathologia 62, 97–102 (1977). https://doi.org/10.1007/BF01259398

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