Keratinomyces ceretanicus sp. nov., a psychrophilic dermatophyte from soil |
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Authors: | Punsola L Guarro J |
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Institution: | (1) Departments of Pathology and Medicine, University of Chicago, 60637 Chicago, IL, USA;(2) Dept. of Medicine (Dermatology), University of Chicago, 950 E. 59th, 60637 Chicago, IL, USA |
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Abstract: | A patient presented with pain in the right lower back, radiating down the right leg. Initial pelvic X-rays did not reveal any lesion. A follow up computerized tomography (CT) scan and technitium scan showed a sharply lytic lesion of the right ilium extending to the right sacroiliac joint. Open biopsy revealed a granulomatous inflammation with many budding yeast from consistent with Blastomyces dermatitidis. Subsequent culture confirmed this identification. There was no other site of fungal infection. Two courses of Amphotericin B (each to 2 g total dose) failed to eradicate this infection. The patient is now responding to Ketoconazole. |
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