Cutaneous microsporidiosis in an immunosuppressed patient.
Identifieur interne : 000F91 ( Ncbi/Merge ); précédent : 000F90; suivant : 000F92Cutaneous microsporidiosis in an immunosuppressed patient.
Auteurs : Daniel A. Nadelman [États-Unis] ; Ashley R. Bradt [États-Unis] ; Yvonne Qvarnstrom [Géorgie (pays)] ; Cynthia S. Goldsmith [Géorgie (pays)] ; Sherif R. Zaki [Géorgie (pays)] ; Frank Wang [États-Unis] ; Emily H. Smith [États-Unis] ; Douglas R. Fullen [États-Unis]Source :
- Journal of cutaneous pathology [ 1600-0560 ] ; 2020.
Abstract
Microsporidia are a group of obligate intracellular parasites that naturally infect domestic and wild animals. Human microsporidiosis is an increasingly recognized multisystem opportunistic infection. The clinical manifestations are diverse with diarrhea being the most common presenting symptom. We present a 52-year-old woman with a history of amyopathic dermatomyositis complicated by interstitial lung disease managed with mycophenolate mofetil and hydroxychloroquine who presented with a 7-month history of recurrent subcutaneous nodules as well as intermittent diarrhea and chronic sinusitis. A punch biopsy showed superficial and deep lymphocytic and granulomatous dermatitis with focal necrosis. Tissue stains for microorganisms revealed oval 1 to 3 μm spores within the necrotic areas in multiple tissue stains. Additional studies at the Centers for Disease Control confirmed cutaneous microsporidiosis. This case is one of very few confirmed examples of cutaneous microsporidiosis reported in the literature.
DOI: 10.1111/cup.13674
PubMed: 32125011
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Nadelman</name><affiliation wicri:level="2"><nlm:affiliation>University of Michigan Medical School, Ann Arbor, Michigan, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Michigan Medical School, Ann Arbor, Michigan</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Bradt, Ashley R" sort="Bradt, Ashley R" uniqKey="Bradt A" first="Ashley R" last="Bradt">Ashley R. Bradt</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, University of Michigan, Ann Arbor, Michigan</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Qvarnstrom, Yvonne" sort="Qvarnstrom, Yvonne" uniqKey="Qvarnstrom Y" first="Yvonne" last="Qvarnstrom">Yvonne Qvarnstrom</name><affiliation wicri:level="1"><nlm:affiliation>Centers for Global Health, Division of Parasitic Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.</nlm:affiliation><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>Centers for Global Health, Division of Parasitic Diseases, Centers for Disease Control and Prevention (CDC), Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="Goldsmith, Cynthia S" sort="Goldsmith, Cynthia S" uniqKey="Goldsmith C" first="Cynthia S" last="Goldsmith">Cynthia S. Goldsmith</name><affiliation wicri:level="1"><nlm:affiliation>National Center for Emerging and Zoonotic Infectious Diseases, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.</nlm:affiliation><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>National Center for Emerging and Zoonotic Infectious Diseases, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention (CDC), Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="Zaki, Sherif R" sort="Zaki, Sherif R" uniqKey="Zaki S" first="Sherif R" last="Zaki">Sherif R. Zaki</name><affiliation wicri:level="1"><nlm:affiliation>National Center for Emerging and Zoonotic Infectious Diseases, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.</nlm:affiliation><country xml:lang="fr">Géorgie (pays)</country><wicri:regionArea>National Center for Emerging and Zoonotic Infectious Diseases, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention (CDC), Atlanta</wicri:regionArea><wicri:noRegion>Atlanta</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Frank" sort="Wang, Frank" uniqKey="Wang F" first="Frank" last="Wang">Frank Wang</name><affiliation wicri:level="2"><nlm:affiliation>Department of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Dermatology, University of Michigan, Ann Arbor, Michigan</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Smith, Emily H" sort="Smith, Emily H" uniqKey="Smith E" first="Emily H" last="Smith">Emily H. Smith</name><affiliation wicri:level="2"><nlm:affiliation>Department of Dermatology, University of Missouri, Columbia, Missouri, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Dermatology, University of Missouri, Columbia, Missouri</wicri:regionArea><placeName><region type="state">Missouri (État)</region></placeName></affiliation></author><author><name sortKey="Fullen, Douglas R" sort="Fullen, Douglas R" uniqKey="Fullen D" first="Douglas R" last="Fullen">Douglas R. Fullen</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pathology, University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, University of Michigan, Ann Arbor, Michigan</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author></analytic><series><title level="j">Journal of cutaneous pathology</title><idno type="eISSN">1600-0560</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Microsporidia are a group of obligate intracellular parasites that naturally infect domestic and wild animals. Human microsporidiosis is an increasingly recognized multisystem opportunistic infection. The clinical manifestations are diverse with diarrhea being the most common presenting symptom. We present a 52-year-old woman with a history of amyopathic dermatomyositis complicated by interstitial lung disease managed with mycophenolate mofetil and hydroxychloroquine who presented with a 7-month history of recurrent subcutaneous nodules as well as intermittent diarrhea and chronic sinusitis. A punch biopsy showed superficial and deep lymphocytic and granulomatous dermatitis with focal necrosis. Tissue stains for microorganisms revealed oval 1 to 3 μm spores within the necrotic areas in multiple tissue stains. Additional studies at the Centers for Disease Control confirmed cutaneous microsporidiosis. This case is one of very few confirmed examples of cutaneous microsporidiosis reported in the literature.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32125011</PMID><DateRevised><Year>2020</Year><Month>03</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1600-0560</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Mar</Month><Day>03</Day></PubDate></JournalIssue><Title>Journal of cutaneous pathology</Title><ISOAbbreviation>J. Cutan. Pathol.</ISOAbbreviation></Journal><ArticleTitle>Cutaneous microsporidiosis in an immunosuppressed patient.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1111/cup.13674</ELocationID><Abstract><AbstractText>Microsporidia are a group of obligate intracellular parasites that naturally infect domestic and wild animals. Human microsporidiosis is an increasingly recognized multisystem opportunistic infection. The clinical manifestations are diverse with diarrhea being the most common presenting symptom. We present a 52-year-old woman with a history of amyopathic dermatomyositis complicated by interstitial lung disease managed with mycophenolate mofetil and hydroxychloroquine who presented with a 7-month history of recurrent subcutaneous nodules as well as intermittent diarrhea and chronic sinusitis. A punch biopsy showed superficial and deep lymphocytic and granulomatous dermatitis with focal necrosis. Tissue stains for microorganisms revealed oval 1 to 3 μm spores within the necrotic areas in multiple tissue stains. Additional studies at the Centers for Disease Control confirmed cutaneous microsporidiosis. This case is one of very few confirmed examples of cutaneous microsporidiosis reported in the literature.</AbstractText><CopyrightInformation>© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Nadelman</LastName><ForeName>Daniel A</ForeName><Initials>DA</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-7953-6240</Identifier><AffiliationInfo><Affiliation>University of Michigan Medical School, Ann Arbor, Michigan, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bradt</LastName><ForeName>Ashley R</ForeName><Initials>AR</Initials><AffiliationInfo><Affiliation>Department of Pathology, University of Michigan, Ann Arbor, Michigan, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Qvarnstrom</LastName><ForeName>Yvonne</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Centers for Global Health, Division of Parasitic Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goldsmith</LastName><ForeName>Cynthia S</ForeName><Initials>CS</Initials><AffiliationInfo><Affiliation>National Center for Emerging and Zoonotic Infectious Diseases, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zaki</LastName><ForeName>Sherif R</ForeName><Initials>SR</Initials><AffiliationInfo><Affiliation>National Center for Emerging and Zoonotic Infectious Diseases, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Frank</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smith</LastName><ForeName>Emily H</ForeName><Initials>EH</Initials><AffiliationInfo><Affiliation>Department of Dermatology, University of Missouri, Columbia, Missouri, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fullen</LastName><ForeName>Douglas R</ForeName><Initials>DR</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-2524-4509</Identifier><AffiliationInfo><Affiliation>Department of Pathology, University of Michigan, Ann Arbor, Michigan, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>03</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Cutan Pathol</MedlineTA><NlmUniqueID>0425124</NlmUniqueID><ISSNLinking>0303-6987</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">cutaneous</Keyword><Keyword MajorTopicYN="N">immunosuppression</Keyword><Keyword MajorTopicYN="N">microsporidia</Keyword><Keyword MajorTopicYN="N">microsporidiosis</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>10</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>02</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>02</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>3</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>3</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>3</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32125011</ArticleId><ArticleId IdType="doi">10.1111/cup.13674</ArticleId></ArticleIdList><ReferenceList><Title>REFERENCES</Title><Reference><Citation>Field AS, Milner DA. 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Transpl Infect Dis. 2012;14(2):169-176.</Citation></Reference><Reference><Citation>Coyle CM, Weiss LM, Rhodes LV 3rd, et al. Fatal myositis due to the microsporidian Brachiola algerae, a mosquito pathogen. N Engl J Med. 2004;351(1):42-47.</Citation></Reference><Reference><Citation>Cali A, Neafie R, Weiss LM, et al. Human vocal cord infection with the microsporidium Anncaliia algerae. J Eukaryot Microbiol. 2010;57(6):562-567.</Citation></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Géorgie (pays)</li><li>États-Unis</li></country><region><li>Michigan</li><li>Missouri (État)</li></region></list><tree><country name="États-Unis"><region name="Michigan"><name sortKey="Nadelman, Daniel A" sort="Nadelman, Daniel A" uniqKey="Nadelman D" first="Daniel A" last="Nadelman">Daniel A. Nadelman</name></region><name sortKey="Bradt, Ashley R" sort="Bradt, Ashley R" uniqKey="Bradt A" first="Ashley R" last="Bradt">Ashley R. Bradt</name><name sortKey="Fullen, Douglas R" sort="Fullen, Douglas R" uniqKey="Fullen D" first="Douglas R" last="Fullen">Douglas R. Fullen</name><name sortKey="Smith, Emily H" sort="Smith, Emily H" uniqKey="Smith E" first="Emily H" last="Smith">Emily H. Smith</name><name sortKey="Wang, Frank" sort="Wang, Frank" uniqKey="Wang F" first="Frank" last="Wang">Frank Wang</name></country><country name="Géorgie (pays)"><noRegion><name sortKey="Qvarnstrom, Yvonne" sort="Qvarnstrom, Yvonne" uniqKey="Qvarnstrom Y" first="Yvonne" last="Qvarnstrom">Yvonne Qvarnstrom</name></noRegion><name sortKey="Goldsmith, Cynthia S" sort="Goldsmith, Cynthia S" uniqKey="Goldsmith C" first="Cynthia S" last="Goldsmith">Cynthia S. Goldsmith</name><name sortKey="Zaki, Sherif R" sort="Zaki, Sherif R" uniqKey="Zaki S" first="Sherif R" last="Zaki">Sherif R. Zaki</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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