Presentation
General observations are presented emphasizing the relevance of close clinical and dermatologic follow-up in high-risk SOT patients with specific comments regarding treatment regimens and outcomes. [ncbi.nlm.nih.gov]
No correlation has been found between a certain histological presentation and the specific organism involved. 6 Also, there are no specific histological changes found in more immunocompromised patients, but more organisms are usually present and there [the-dermatologist.com]
Pus was obtained from the pustular lesions present on the back and legs. [ijmm.org]
Pustules may also be present. 5 Immunocompromised patients may present similar symptoms as immunocompetent patients or with subcutaneous nodules and abscesses. 6 - 8 Trauma is also considered an incitation factor in these cases. [doi.org]
The pubic tinea clinically presented in conjunction with fever, lymphadenopathy, inflammatory plaques, follicular lesions and subcutaneous nodules. [karger.com]
Immune System
- Inguinal Lymphadenopathy
In addition, inguinal lymphadenopathy and a fever of 38.3°C were present. History revealed that the patient used to shave this area during the past years. [karger.com]
Entire Body System
- Pain
The patient was referred to our department because he developed painful follicular pustules in the right limb that impeded him from using his prosthesis. [actasdermo.org]
After discharge she developed lower extremity edema, pleuritic chest pain, dyspnea, and a 10-lb weight gain. [amjmed.org]
painful to toouch pustular infection involving hair follicles; S. aureus; pustul pierced by hair; very itchy deep inflammatory nodule; S. aureus; indurated/painful to shed, peel, or come off in scales superficial scalp fungal infection; trichophyton [quizlet.com]
Case Report A 27-year-old, immunocompetent woman was referred to us for a painful, inflammatory plaque of the pubic area of 3 months' duration (fig. 1). [karger.com]
- Fever
Circulating cytokines as mediators of fever. Clin Infect Dis, 31 (2000), pp. 178-184 Copyright © 2016. AEDV [actasdermo.org]
The pubic tinea clinically presented in conjunction with fever, lymphadenopathy, inflammatory plaques, follicular lesions and subcutaneous nodules. [karger.com]
[…] affects mucosa, nail folds, and intertrigionous skin; C. albicans inflammation of nail folds; produces redness, edema, and pain; acute-staph vs chronic- candidal Erythema multiforme is a rash that appears as red, target-shaped rocky mountain spotted fever [quizlet.com]
- Lymphadenopathy
The pubic tinea clinically presented in conjunction with fever, lymphadenopathy, inflammatory plaques, follicular lesions and subcutaneous nodules. [karger.com]
On medical examination, there was no regional lymphadenopathy observed. [ijdvl.com]
[…] staph aueurus; yellow-honey crusted lesion; contagious; acute; MC in children and teenagers; more superficial ulcerative painful skin infection;GABHS; regional lymphadenopathy well-demarcated, superficial; beta-hemolytic streph; no ulcerations; firm and [quizlet.com]
After development of lymphadenopathy in her right axilla and inguinal regions, she was admitted to an outside hospital and treated with intravenous vancomycin, piperacillin and tazobactam, and topical ketoconazole and was discharged home on doxycycline [amjmed.org]
- Severe Pain
She did not consent to skin biopsy because of severe pain. Clinical examination of her husband showed the presence of tinea cruris of 1 year's duration. Mycological examination of the scales also revealed the presence of T. rubrum. [karger.com]
- Malaise
As the lesions progressed into painful nodules (Fig. 2) the patient also developed malaise and low-grade fever. His laboratory tests showed elevated C reactive protein 131mg/L and leucocytes 13.9×109/L. [actasdermo.org]
Skin
- Erythema
Case Report A 46-year-old male patient presented with one-year history of erythema, papule and nodules, and desquamation over his whole face, accompanied with pruritus. [ncbi.nlm.nih.gov]
[…] of children and adults, associated with excessive heat and humidity; scaly red annular plaques (ringworm) Tinea cruris: "jock itch", infection of inguinal area of obese men during warm weather Tinea pedis: "athletes foot", infection causing diffuse erythema [pathologyoutlines.com]
Type of lesion Differential diagnosis Papule Folliculitis Acne vulgaris Lupus miliaris disseminatus facii Insect bite Cutaneous leishmaniasis Granulomatous rosacea Disseminated toxoplasmosis Kaposi sarcoma Nodule Erythema nodosum Erythema induratum Bazin [academic.oup.com]
- Ulcer
and infiltrated painful plaques that sometimes ulcerate. [actasdermo.org]
A new ulcer or ulcers may appear as the old one heals, so that granuloma inguinale may eventually cover the reproductive organs, buttocks, and lower abdomen, with extensive sores and a foul odor. [medical-dictionary.thefreedictionary.com]
The upper lip was chronically ulcerated and painless. Biopsy of the lesion on the upper lip exhibited fungal forms in the dermis. KOH preparation was negative. [omicsonline.org]
[…] staph aueurus; yellow-honey crusted lesion; contagious; acute; MC in children and teenagers; more superficial ulcerative painful skin infection;GABHS; regional lymphadenopathy well-demarcated, superficial; beta-hemolytic streph; no ulcerations; firm and [quizlet.com]
- Pruritus
Bacterial folliculitis can occasionally cause pruritus, but it is more often painful. 4 A localized, annular pattern would be an unusual presentation for bacterial folliculitis. [aafp.org]
Case Report A 46-year-old male patient presented with one-year history of erythema, papule and nodules, and desquamation over his whole face, accompanied with pruritus. [hindawi.com]
The corticosteroids reduce the symptoms of pruritus, scaling, and erythema by decreasing the cell-mediated inflammatory response.1,2,4,5 While topical antifungals can be successful in the treatment of superficial mycosis, they provide limited relief, [consultant360.com]
- Purpura
From Wikipedia, the free encyclopedia Jump to navigation Jump to search Majocchi's disease Purpura annularis telangiectodes Majocchi's disease, also known as Purpura annularis telangiectodes of Majocchi [1] is a well-recognized but uncommon skin condition [en.wikipedia.org]
purpura annularis telangiectodes, which is commonly known as Majocchi disease. [emedicine.medscape.com]
- Hyperpigmentation
At the end of the treatment, her general condition was excellent, inflammatory nodules and cysts had subsided, and only postinflammatory hyperpigmentation was evident (fig. 2). Mycological examination was negative. [karger.com]
He was treated with prednisolone 60mg daily, with gradual tapering, and terbinafine 250mg daily for 8 weeks with incremental improvement although residual hyperpigmentation remained. [actasdermo.org]
The central portion of the plaque had scattered, follicularly based, erythematous papules and postinflammatory hyperpigmentation. A potassium hydroxide (KOH) preparation of scale from the plaque revealed innumerable branching hyphae. [aafp.org]
Workup
What was missing from this patient’s workup was a definitive diagnosis, which could have been obtained with a biopsy, culture or KOH preparation to identify fungal elements. [clinicaladvisor.com]
In severe or recurrent cases, further workup may be required. This disease commonly affects both immunocompetent and immunocompromised hosts. However, immunocompromised individuals have a higher risk. [en.wikipedia.org]
Microbiology
- Trichophyton Mentagrophytes
Keywords : Mycosis, Guinea pig, Terbinafine, Majocchi's granuloma, Trichophyton mentagrophytes varietas granulosum [em-consulte.com]
We report a case of Majocchi's granuloma caused by Trichophyton mentagrophytes on the vulva in a 23-year-old girl who had used topical steroids for many years. Her dog was a source of the infection. [ncbi.nlm.nih.gov]
Periodic acid Shiff (PAS) and Grocott staining showed the presence of fungal spores in the hair follicle (Fig. 1B) and Trichophyton mentagrophytes was isolated from culture of the skin scrape with hair shaft. [actasdermo.org]
Treatment
It is important to perform a thorough examination for latent dermatophyte infection, including skin and nail lesions, before treatment with TNF-alpha inhibitors and during traditional psoriasis treatment. [ncbi.nlm.nih.gov]
Itraconazole treatment was complicated by drug interactions. Tricho-phyton rubrum infection progressed, while itraconazole treatment was varied in dose and delivery form. [zora.uzh.ch]
Itraconazole treatment was complicated by drug interactions. Trichophyton rubrum infection progressed, while itraconazole treatment was varied in dose and delivery form. [jdcr.eu]
Prognosis
However, there are only a few reports in the literature of facial involvement. [2],[3],[4] The prognosis of MG can be regarded as good, because there is effective pharmacotherapy available for it. [ijdvl.com]
A patient was recently described in Brazil. [2] Prognosis Majocchi granuloma cure is expected with appropriate systemic antifungal therapy. [emedicine.medscape.com]
Etiology
Onychomycosis - Etiology en_US dc.subject.mesh Tinea - Etiology en_US dc.subject.mesh Tinea Pedis - Etiology en_US dc.title Majocchi's granuloma and posttransplant lymphoproliferative disease in a renal transplant recipient. en_HK dc.type Article en_HK [hub.hku.hk]
Although primarily caused by keratinophilic dermatophytes such as anthropophilic Trichophyton rubrum, species from the Aspergillus and Phoma genera have been occasionally detected as etiologic agents of MG. [ncbi.nlm.nih.gov]
Epidemiology Commonly occurs in young women that shave their legs frequently Etiology Linked to Trichophyton Rubrum infection, also occurs when potent topical steroids are used on unsuspected tinea Pathogenesis Begins as a suppurative folliculitis and [dermpathdiagnostics.com]
Table 3 Etiologic agent of 79 cases of Majocchi’s granuloma and their frequency. [academic.oup.com]
Epidemiology
It provides a comprehensive review of the epidemiology, diagnosis, and management of opportunistic infections and presents strategies for infection prevention and control. [books.google.com]
Epidemiology Commonly occurs in young women that shave their legs frequently Etiology Linked to Trichophyton Rubrum infection, also occurs when potent topical steroids are used on unsuspected tinea Pathogenesis Begins as a suppurative folliculitis and [dermpathdiagnostics.com]
Epidemiology To the authors' knowledge, no specific data on the incidence and prevalence of Majocchi granuloma exist. [emedicine.medscape.com]
Pathophysiology
Pathophysiology The pathophysiology of the fungal infection and defense mechanisms against superficial dermatomycosis has been studied. [7] Two series of experimental infections of T mentagrophytes were made on the forearm of a male volunteer with topical [emedicine.medscape.com]
^ a b c "Majocchi Granuloma: Background, Pathophysiology, Epidemiology". 2017-07-14. ^ a b "Majocchi's Granuloma (Granuloma trichophyticum)". www.mdedge.com. [en.wikipedia.org]
Prevention
Abstract BACKGROUND: Solid organ transplant recipients are at an increased risk for infections because of long-term immunosuppression to prevent graft rejection. [zora.uzh.ch]
Hofbauer Abstract Background: Solid organ transplant recipients are at an increased risk for infections because of long-term immunosuppression to prevent graft rejection. [jdcr.eu]
Physical barrier of the dermis, degree of hydration and lipid composition of the stratum corneum play a major role in preventing such dermal invasions. [8] However, disruption of such mechanism can allow the persistence and widespread dissemination of [ijmm.org]
It provides a comprehensive review of the epidemiology, diagnosis, and management of opportunistic infections and presents strategies for infection prevention and control. [books.google.com]
There is no known preventive for granuloma inguinale, although it is rare where sanitary living conditions prevail. The drainage from lesions may be infectious and handwashing and basic cleanliness are required. [medical-dictionary.thefreedictionary.com]