Bulls‐Eye Cutaneous Infarct of Zygomycosis
Identifieur interne : 008507 ( Main/Exploration ); précédent : 008506; suivant : 008508Bulls‐Eye Cutaneous Infarct of Zygomycosis
Auteurs : A. Rubin [États-Unis] ; M. Grossman [États-Unis] ; A. Rabinowitz [États-Unis]Source :
- Journal of Cutaneous Pathology [ 0303-6987 ] ; 2005-01.
Abstract
A seventy‐year‐old woman with a history of chronic lymphocytic leukemia was admitted to the hospital for change in mental status. She had a splenectomy five years prior to admission. The white blood cell count was 154,000 cells/microliter with 95% lymphocytes and 4% neutrophils. Blood cultures grew Salmonella enteritidis and Candida krusei. She developed a wrist lesion at the site of a previous arterial line. The lesion had a striking resemblance to a bulls‐eye, with three distinct concentric zones. A bedside touch preparation rapidly processed with Periodic Acid Schiff staining demonstrated a single intact aseptate broad hypha. Punch biopsy specimens demonstrated broad, aseptate hyphae throughout the dermis and subcutis invading both blood vessels and interstitum. A skin biopsy specimen sent for fungal culture grew Rhizopus arrhizus. Cutaneous zygomycosis is a rare, devastating disease that can occur in both immunocompromised and immunocompetent hosts. This case illustrates a distinct morphology, which we have coined the “bulls‐eye infarct of cutaneous zygomycosis”. Recognition of this unique appearance allows a rapid bedside diagnosis of this life threatening infection. To our knowledge, this morphology has been reported only twice in the medical literature.
Url:
DOI: 10.1111/j.0303-6987.2005.320gg.x
Affiliations:
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Rabinowitz</name><affiliation wicri:level="2"><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Dermatology, Columbia University College of Physicians and Surgeons, New York</wicri:cityArea></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Cutaneous Pathology</title><title level="j" type="alt">JOURNAL OF CUTANEOUS PATHOLOGY</title><idno type="ISSN">0303-6987</idno><idno type="eISSN">1600-0560</idno><imprint><biblScope unit="vol">32</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="113">113</biblScope><biblScope unit="page" to="113">113</biblScope><biblScope unit="page-count">1</biblScope><publisher>Blackwell Publishing Ltd/Inc.</publisher><pubPlace>Oxford, UK; Malden, USA</pubPlace><date type="published" when="2005-01">2005-01</date></imprint><idno type="ISSN">0303-6987</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0303-6987</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A seventy‐year‐old woman with a history of chronic lymphocytic leukemia was admitted to the hospital for change in mental status. She had a splenectomy five years prior to admission. The white blood cell count was 154,000 cells/microliter with 95% lymphocytes and 4% neutrophils. Blood cultures grew Salmonella enteritidis and Candida krusei. She developed a wrist lesion at the site of a previous arterial line. The lesion had a striking resemblance to a bulls‐eye, with three distinct concentric zones. A bedside touch preparation rapidly processed with Periodic Acid Schiff staining demonstrated a single intact aseptate broad hypha. Punch biopsy specimens demonstrated broad, aseptate hyphae throughout the dermis and subcutis invading both blood vessels and interstitum. A skin biopsy specimen sent for fungal culture grew Rhizopus arrhizus. Cutaneous zygomycosis is a rare, devastating disease that can occur in both immunocompromised and immunocompetent hosts. This case illustrates a distinct morphology, which we have coined the “bulls‐eye infarct of cutaneous zygomycosis”. Recognition of this unique appearance allows a rapid bedside diagnosis of this life threatening infection. To our knowledge, this morphology has been reported only twice in the medical literature.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Rubin, A" sort="Rubin, A" uniqKey="Rubin A" first="A." last="Rubin">A. Rubin</name></region><name sortKey="Grossman, M" sort="Grossman, M" uniqKey="Grossman M" first="M." last="Grossman">M. Grossman</name><name sortKey="Rabinowitz, A" sort="Rabinowitz, A" uniqKey="Rabinowitz A" first="A." last="Rabinowitz">A. Rabinowitz</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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