Case (ref.)
|
Age, sex
|
Subcutaneous lesions
|
Underline condition
|
Diagnosis
|
Treatment; outcome
|
1 (12) |
76, M |
Soft tissue painful, erythematous swelling of the 4th and 5th finger; in one year, involved the hand, wrist and forearm. X-ray did not reveal bone lesions. |
None |
Culture of synovia and synovium |
Amphotericin B and miconazole; relapse |
2 (26) |
76, M |
Nodules (1 mm to 4 cm) from the dorsum of the 5th finger along the ulnar margin of the right forearm; arthritis and osteitis of the wrist, disclose by X-ray and 99mTc bone scan. |
Prednisone, bronchitis, hypertension, temporal arteritis |
Pus (direct, smears PAS); biopsy (Grocott) Culture of the pus |
Ketoconazole; death: heart failure |
3 (3) |
59, F |
Non tender, swollen, erythematous induration, covered by many pustular lesions on the righ leg 2 months duration. |
Diabetes Cushings disease |
Biopsy (PAS). Culture of the pus and biopsied fragments |
Miconazole. Control of immunosuppression |
4 (25) |
46, M |
Infected surgical wound resulting from partial hemilaminectomy. |
None |
Culture of infected tissue |
Surgical debridement |
5 (25) |
64, M |
Infected axillo femoral graft. |
Diabetes |
Culture of the graft |
Graft resection |
6 (10) |
24, M |
Purulent material draining from a craniotomy wound. |
Dexamethazone |
Culture of the pus |
Miconazole |
7 (16) |
45, F |
Ulceration (2 × 5 cm) covered by adherent slough on the dorsum of right ankle. |
None |
Direct and culture of slough biopsy |
Surgical debridement and skin graft |
8 (17) |
64, M |
Painless tumefaction and ulceration (1 cm) with erythematous border, covered by a necrotic scar and draining a yellowish pus, 3 month duration. |
Waldenstroms disease Corticotherapy Cytotoxic drugs |
Pus (direct), biopsy (Grocott), culture |
Ketoconazole |
9 (8) |
38, M |
Tumefaction of the right malleolar region with a fistula draining purulent material. |
None |
Culture of the pus |
Surgical extraction of a rubber fragment |
10 (11) |
45, M |
One painless, tender, flutuant nodule (2 cm) in the left knee 4 month duration. |
Diabetes, renal transplantation |
Biopsy (Grocott and culture) and corticotherapy |
Surgery Itraconazole |
11 (4) |
73, M |
Subcutaneous nodules distributed on the foot, tibial crest and tigh (0.5 to 3 cm), 4 month duration. |
Hortons disease Corticotherapy |
Biopsy (Grocott) Culture of the pus |
Itraconazole |
This report |
Case 1 |
73, F |
Ulceration (1 × 2 cm) on the flexor surface of the forearm. |
Carcinoma of the breast Cytotoxic drugs corticotherapy |
Direct and culture |
None; death: pulmonary failure |
Case 2 |
66, F |
Three painfull nodules on the flexor surface of the left forearm. |
None |
Direct, smears (Grocott) and culture |
Itraconazole; cured. |