1/5. Localized blastomycosis-like pyoderma with good response to cotrimoxazol and cryotherapy.blastomycosis-like pyoderma is an unusual, exaggerated, vegetative-tissue reaction to a prolonged primary or secondary bacterial infection. It is a rare disease, usually seen in immunocompromized patients. We report a case of localized blastomycosis-like pyoderma responding poorly to classic treatments, but that gave a dramatic response to a combination treatment of cotrimoxazol and cryotherapy.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |
2/5. fever, chills, and weakness in a 61-year-old man.A 61-year-old man presented to the emergency department of a community hospital with a 2-week history of fever, chills, and sudden extreme weakness of his right arm and lower extremities. He also had a cough, shortness of breath, nausea, abdominal pain, diarrhea, and myalgia. Though initially alert and cooperative, he quickly became unresponsive. In addition, he had hyponatremia, renal insufficiency, and compromised cardiopulmonary function. He was admitted to the intensive care unit for suspected bacterial infection and was started on broad-spectrum antibiotics. Chest radiograph revealed miliary infiltrates consistent with infectious emboli or metastatic carcinoma. Despite intensive resuscitation, the patient died 36 hours after admission. At autopsy multiple nodular lesions were observed on gross examination of the lungs, perihilar and paratracheal lymph nodes, and liver. Microscopic sections of the lung (Figure 1) and brain (Figures 2 and 3) are shown.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |
3/5. blastomycosis-like pyoderma--report of a case responsive to combination therapy utilizing minocycline and carbon dioxide laser debridement.blastomycosis-like pyoderma is an uncommon reaction pattern to a superficial bacterial infection in persons with a variety of predisposing conditions such as chronic ethanol use and poor nutrition. We are reporting a case that initially responded poorly to previously described treatment regimens but responded well to combination treatment with carbon dioxide laser debridement and long-term minocycline.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |
4/5. blastomycosis-like pyoderma.Seven patients with blastomycosis-like pyoderma had skin lesions of four months' to six years' duration. The criteria for the diagnosis of blastomycosis-like pyoderma include the clinical presentation of large verrucous plaques with multiple pustules and elevated border, pseudoepitheliomatous hyperplasia with abscess histologically, and the growth of at least one pathogenic bacteria from the culture of a tissue-biopsy specimen. The differential diagnosis includes deep fungus infection (especially North American blastomycosis), bromoderma, pyoderma gangrenosum, mycobacterial infections, giant keratoacanthoma, and squamous cell carcinoma. Generally, the patients had one or more conditions that could have affected their systemic or local immunologic competence to infection. We believe that the clinical and histologic features in these cases of blastomycosis-like pyoderma were produced by an unusual, exaggerated, vegetating-tissue reaction to a primary or secondary bacterial infection.- - - - - - - - - - ranking = 2keywords = bacterial infection (Clic here for more details about this article) |
5/5. Localized oral blastomycosis mimicking actinomycosis.A case of blastomycosis limited to the oral cavity is presented. The disease apparently originated in the mandible and eroded into the oral cavity. Secondary bacterial infection of the sinus tracts resulted in a clinical picture that mimicked cervicofacial actinomycosis. Appropriate microbiologic studies, including culture confirmation of the causative organism, were necessary to establish a definitive diagnosis.- - - - - - - - - - ranking = 1keywords = bacterial infection (Clic here for more details about this article) |