11/84. Multiple opportunistic AIDS-associated disorders strictly related to immunodeficiency levels, in a girl with congenital hiv infection.A 16-year-old girl with vertical hiv disease treated since birth suffered from six different AIDS-defining disorders until now. Even during the highly active antiretroviral therapy, multiple aids-related opportunistic infections may complicate the course of long-term congenital hiv disease, showing a strict relationship with immunological deterioration, which occurs shortly after virologic failure, due to an extensive genotypic resistance to all available antiretroviral compounds.- - - - - - - - - - ranking = 1keywords = infection (Clic here for more details about this article) |
12/84. Generalized fungal infection in a patient with AIDS appearing as skin papules.Human immunodeficiency virus infection (hiv) is unique among cutaneous fungal infections caused by defects of the cell-mediated immune system. Infections with candida albicans occur with increased frequency and severity among hiv-infected individuals. Oral candidiasis is the most common manifestation, superficial cutaneous infections of the dermis are rarely seen. We report a hiv-positive man from cameroon presenting with generalized cutaneous papules and nodes, oral candidiasis, and soor esophagitis, who was successfully treated with fluconazole monotherapy.- - - - - - - - - - ranking = 1.4keywords = infection (Clic here for more details about this article) |
13/84. Oral candidosis in non-Hodgkin's lymphoma: a case report.Though oral candidosis is an opportunistic fungal infection that commonly affects immunocompromised patients, little is known of its occurrence as a complication of Non-Hodgkin's lymphoma. This paper reports a case of oral candidosis in a 20-year-old Indonesian woman with this lymphoproliferative disease. She presented with acute pseudomembranous candidosis on the dorsum and lateral borders of the tongue, bilateral angular cheilitis and cheilocandidosis. The latter is a rare clinical variant of oral candidosis, and the lesions affecting the vermilion borders presented as an admixture of superficial erosions, ulcers and white plaques. Clinical findings were confirmed with oral smears and swabs that demonstrated the presence of hyphae, pseudohyphae and blastospores, and colonies identified as candida albicans. A culture from a saline rinse was also positive for multiple candidal colonies. lip and oral lesions were managed with nystatin. The lesions regressed with subsequent crusting on the lips, and overall reduction in oral thrush. As Non-Hodgkin's lymphoma is a neoplastic disease that produces a chronic immunosuppressive state, management of its oral complications, including those due to oral candidosis, is considered a long-term indication.- - - - - - - - - - ranking = 0.2keywords = infection (Clic here for more details about this article) |
14/84. candida glabrata is an emerging cause of oropharyngeal candidiasis in patients receiving radiation for head and neck cancer.Oropharyngeal candidiasis (OPC) is relatively common in patients receiving radiation for head and neck cancer occurring in approximately 25% of patients. candida albicans has been described as the primary infecting organism. Recently, other organisms, particularly candida glabrata, have emerged as causative agents of OPC among immunocompromised patients. This study describes the characteristics of 6 patients with head and neck cancer treated with radiotherapy at our institution, who were found to have candida glabrata-associated OPC and their responses to oral fluconazole. All 6 patients were successfully treated with oral fluconazole. However, most did not respond to the usual dose of 100 mg/day necessitating doses ranging from 200 to 800 mg/day to achieve clinical cure. All 3 patients receiving radiation only were successfully treated with up to 200 mg/day; 2 of 3 patients receiving concomitant chemoradiation required doses ranging from 400 to 800 mg/day. As with systemic infection, previous fluconazole use appears to be a risk factor for this infection, but not with all patients.- - - - - - - - - - ranking = 0.4keywords = infection (Clic here for more details about this article) |
15/84. Oral papillary plasmacytosis resembling candidosis without demonstrable fungus in lesional tissue.Two cases with exuberant papillary and nodular hyperplasia of the hard and soft palates are described. Both were elderly edentulous men with bilateral angular stomatitis. The papillary hyperplasia extended as far as the epiglottis and was associated with swelling and fissuring of the upper lip in patient 1. In patient 2, the palatal change extended to the maxillary gingiva and was associated with smooth plaques and fissuring of the dorsal tongue. histology of both cases showed a dense polyclonal plasma-cell infiltrate with overlying epithelial hyperplasia, parakeratinization and neutrophil micro-abscesses suggesting Candida infection but fungal elements could not be demonstrated. Patient 1 also showed defective cellular immunity to Candida antigen which was reversed by treatment with ketoconazole and levamisole, antedating clinical improvement.- - - - - - - - - - ranking = 0.2keywords = infection (Clic here for more details about this article) |
16/84. Chronic mucocutaneous candidiasis: a case report.Chronic mucocutaneous candidiasis is a immuno deficiency disorder primarily due to T cell dysfunction characterized by persistent candidal infection of mucous membrane, skin, scalp and nails. Chronic mucous membrane candidiasis has an onset in infancy or childhood; the primary affected site is the oral cavity; however, lesions may occur on trunk, hands, feet and scalp. This paper describes a 12-year-old girl with candidial infection of the oral mucosa and extra oral involvement of fingers, nails, toes and intertragus area.- - - - - - - - - - ranking = 0.4keywords = infection (Clic here for more details about this article) |
17/84. Rhinocerebral mucormycosis following bone marrow transplantation.rhizopus oryzae was the causative organism in a fatal case of rhinocerebral and then pulmonary mucormycosis in a patient cured of her underlying leukaemia by bone marrow transplantation. We discuss the risk factors involved and the need for maintaining a high index of suspicion of fungal infection in the late post-transplant period.- - - - - - - - - - ranking = 0.2keywords = infection (Clic here for more details about this article) |
18/84. candida glabrata sepsis secondary to oral colonization in bone marrow transplantation.candida glabrata has emerged as a common cause of fungal sepsis in bone marrow transplant patients, particularly those receiving fluconazole prophylaxis. Colonization of the lower GI tract and indwelling catheters have been thought to be the primary sources of systemic infection with Candida. We report on a bone marrow transplant patient who developed candida glabrata sepsis from pre-existing oral colonization.- - - - - - - - - - ranking = 0.2keywords = infection (Clic here for more details about this article) |
19/84. A case of oral erosive candidosis in a kidney transplant patient.A case of oral erosive candidosis due to candida albicans in a 64-year-old female patient, who had undergone kidney transplant 20 days earlier, is reported. Concomitant herpes infection was excluded. The patient achieved clinical and mycological recovery after treatment with topical and systemic antimycotics (200 mg fluconazole per day) for 50 days. The case is reported because of the erosive ulcerating aspect and extent of the lesions, usually only reported in immunodepressed subjects, especially those with neutropenia or AIDS.- - - - - - - - - - ranking = 0.2keywords = infection (Clic here for more details about this article) |
20/84. Candida laryngotracheitis: a complication of combined steroid and antibiotic usage in croup.The use of corticosteroids to reduce the morbidity associated with laryngotracheobronchitis (croup) has been a controversial issue for many years. Recent literature, however, does support a decreased morbidity and increased clinical response when short-term steroids are used. As a prophylactic measure against bacterial superinfection, antibiotics are commonly utilized in the treatment of croup. We present the case of an otherwise healthy infant with severe croup who was hospitalized and treated with both steroids and antibiotics. A relapse in her symptoms led to the diagnosis of candida laryngotracheitis. We recommend close monitoring of patients with croup treated aggressively with steroids and antibiotics. Steroid use should be limited to 24 h with antibiotics reserved for patients with signs of bacterial infection.- - - - - - - - - - ranking = 0.4keywords = infection (Clic here for more details about this article) |
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