Crusty scabbing plaques and nodules on the head: A diagnostic and therapeutic challenge in an elderly immunocompetent patient. A case of Majocchi's granuloma

2020 ◽  
Vol 33 (3) ◽  
Author(s):  
Paolo Romita ◽  
Giovanni Liguori ◽  
Roberta Giuffrida ◽  
Claudio Conforti ◽  
Grazia Lovero ◽  
...  
Keyword(s):  
Immunocompetent Patient ◽  
Therapeutic Challenge ◽  
Majocchi’S Granuloma

scholarly journals Scedosporium Cerebral Abscesses After Extra-Corporeal Membrane Oxygenation

2010 ◽  
Vol 37 (5) ◽  
pp. 671-676 ◽  
Author(s):  
Hosam Al-Jehani ◽  
Marie-Christine Guiot ◽  
Carlos Torres ◽  
Judith Marcoux
Keyword(s):  
Immunocompetent Patient ◽  
Community Acquired Pneumonia ◽  
Scedosporium Apiospermum ◽  
Surgical Interventions ◽  
Therapeutic Challenge ◽  
Membrane Oxygenation ◽  
High Clinical Suspicion ◽  
The Central Nervous System ◽  
Brain Abscesses ◽  
Cerebral Infection

Background:Scedosporial infections are usually encountered in the immunocompromised patients. However, they are now emerging in the immunocompetent population and have an affinity for the central nervous system. They represent a therapeutic challenge, since they are highly resistant to most antifungal medications.Methods:We report the case of an immunocompetent patient with multiple cerebral abscesses secondary to Scedosporium apiospermum following extracorporeal membrane oxygenation (ECMO) and review the literature about this challenging cerebral infection.Results:A previously healthy 33-year-old male admitted to the hospital for a community-acquired pneumonia requiring ECMO subsequently developed multiple cerebral abscesses. He was empirically treated with caspofungin, which was changed to voriconazole once surgical aspiration revealed Scedosporium apiospermum. Despite multiple aspirations, decompressive craniectomy to alleviate intracranial pressure, and an appropriate antifungal agent, the patient did not survive this aggressive infection.Conclusion:Brain abscesses with Scedosporium apiospermum present a therapeutic challenge. High clinical suspicion leading to early appropriate antifungal therapy and combined surgical interventions might improve the prognosis.

scholarly journals Majocchi’s Granuloma on the Forearm Caused by Trichophyton tonsurans in an Immunocompetent Patient

2020 ◽  
Author(s):  
Yun-yan Zheng ◽  
Yue Li ◽  
Ming-yan Chen ◽  
Qian-yun Mei ◽  
Ru-zhi Zhang
Keyword(s):  
Trichophyton Rubrum ◽  
Subcutaneous Tissue ◽  
Immunocompetent Patient ◽  
Lower Limbs ◽  
Trichophyton Tonsurans ◽  
Anterior Aspect ◽  
Majocchi’S Granuloma ◽  
Mycological Examination ◽  
Dermal Infiltrate ◽  
A Site

Abstract Majocchi's granuloma is an uncommon fungal infection of the dermis and subcutaneous tissue. The most frequently identified cause of Majocchi’s granuloma is anthropophilic Trichophyton rubrum, and it is most commonly located on the anterior aspect of the lower limbs in women. Here, we report a case of Majocchi’s granuloma on the forearm, a site that is rarely involved, in a 62-year-old woman who had been bitten by a dog. Histological examination revealed a dense dermal infiltrate composed of lymphoplasmacytic cells and neutrophils, with hyphae in the dermis. The presence of the fungus, Trichophyton tonsurans, was confirmed by mycological examination. Therefore, histological and mycological examination conformed the diagnosis of Majocchi’s granuloma. The patient was treated with local moxibustion and itraconazole, 200 mg/day, for 60 days, which facilitated a complete resolution of the lesions

Majocchi’s granuloma caused byMicrosporum canisin an immunocompetent patient

2010 ◽  
Vol 35 (4) ◽  
pp. 445-447 ◽  
Author(s):  
V. Ratajczak-Stefańska ◽  
M. Kiedrowicz ◽  
R. Maleszka ◽  
M. Różewicka ◽  
D. Mikulska
Keyword(s):  
Immunocompetent Patient ◽  
Majocchi’S Granuloma

scholarly journals The First Reported Case of Majocchi’s Granuloma withMalbrancheasp. in an Immunocompetent Patient

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Anusha Govind ◽  
Nathan L’Etoile ◽  
Gustavo Vasquez
Keyword(s):  
Subcutaneous Tissue ◽  
Rare Condition ◽  
Immunocompetent Patient ◽  
Immunocompromised Patients ◽  
Cutaneous Lesions ◽  
Majocchi’S Granuloma ◽  
Variable Presentation

Majocchi’s granuloma is a rare condition in which a dermatophyte invades the deeper layers of the dermis and subcutaneous tissue and can often be misidentified and treated as eczema. It has a variable presentation ranging from cutaneous lesions to deeper infections in immunocompromised patients. No prior cases have described the formation of Majocchi’s granuloma with the deuteromycetes,Malabranchea.

scholarly journals Eumycetoma by Madurella mycetomatis with 30 years of evolution: therapeutic challenge

2013 ◽  
Vol 88 (6 suppl 1) ◽  
pp. 82-84 ◽  
Author(s):  
Felipe Maurício Soeiro Sampaio ◽  
Maria Clara Gutierrez Galhardo ◽  
Leonardo Pereira Quintella ◽  
Paulo Roberto Cotrim de Souza ◽  
Janice Mary Chicarino de Oliveira Coelho ◽  
...  
Keyword(s):  
Immunocompetent Patient ◽  
Clinical Development ◽  
Therapeutic Challenge ◽  
Subcutaneous Nodules ◽  
Madurella Mycetomatis ◽  
The Right ◽  
Surgical Excisions

We report a case of eumycetoma by Madurella mycetomatis on the buttocks and thighs in an adult immunocompetent patient, diagnosed after 30 years of clinical development. He was treated over four years with fluconazol and itraconazol associated with five times surgical excisions of subcutaneous nodules. At the eighth year of follow-up, one nodule recurred on the right infragluteal region, which was excised surgically and has remained asymptomatic ever since.

Majocchi's granuloma of the face in an immunocompetent patient

2007 ◽  
Vol 34 (10) ◽  
pp. 702-704 ◽  
Author(s):  
Meenu GILL ◽  
Bhavna SACHDEVA ◽  
Paramjeet S. GILL ◽  
Brijbala ARORA ◽  
Antariksh DEEP ◽  
...  
Keyword(s):  
Immunocompetent Patient ◽  
The Face ◽  
Majocchi’S Granuloma
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