scholarly journals Case Report: Approach to Tinea incognito

2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Mehmet Ziya Gencer
Keyword(s):  
Case Report ◽  
Fungal Infection ◽  
Skin Diseases ◽  
Suppressive Therapy ◽  
Systemic Steroids ◽  
Clinical Appearance ◽  
Topical Corticosteroids ◽  
Immune Suppressive Therapy ◽  
Tinea Incognito ◽  
The Look

Tinea incognito is a disease that gets the look of atipic form of mycotic infection, imitating many different dermatomes formed by misdiagnosing and giving improper topical, systemic steroids or immune suppressive therapy. Tinea incognito or steroid modified tinea is a dermatophytic infection in which topical or systemic steroids, administered as a result of dermatological misdiagnosis or pre existing pathologies, have modified the clinical appearance of the fungal infection, transforming the typical ring worm and mimicking other skin diseases [1,2]. In this case we demonstrate a patient who started topical corticosteroids application with misdiagnosis and after that insisting topical corticosteroids use on her treatment from doctors she see

scholarly journals The Course of COVID-19 in a Patient with Aplastic Anemia and Paroxysmal Nocturnal Hemoglobinuria Clone: A Case Report and Literature Review

2021 ◽  
Vol 4 (3) ◽  
pp. 235-238
Author(s):  
Sreethish Sasi ◽  
Mohamed A. Yassin ◽  
Arun P. Nair ◽  
Afraa M. Fadul ◽  
Mohammed A. Abukhattab
Keyword(s):  
Case Report ◽  
Aplastic Anemia ◽  
Lymphocyte Count ◽  
Paroxysmal Nocturnal Hemoglobinuria ◽  
Case Reports ◽  
Bone Marrow Failure ◽  
Suppressive Therapy ◽  
Nasopharyngeal Swab ◽  
Bone Marrow Failure Syndromes ◽  
Immune Suppressive Therapy

<b><i>Introduction:</i></b> Aplastic anemia (AA) and paroxysmal nocturnal hemoglobinuria (PNH) are bone marrow failure syndromes. A 20–40% of patients with AA have a PNH clone at diagnosis. To date, there are little data about the course of COVID-19 in patients with AA and PNH. <b><i>Case Presentation:</i></b> A 36-year-old gentleman, who was previously diagnosed as a case of AA with PNH clones off immune-suppressive therapy, presented with fever and cough and was diagnosed with mild pneumonia due to COVID-19 with positive nasopharyngeal swab polymerase chain reaction (PCR) for severe acute respiratory syndrome coronavirus 2. His clinical course was benign except transient thrombocytopenia. He was asymptomatic after day 4, and viral PCR was negative on day 21. <b><i>Discussion:</i></b> Though studies have shown that COVID-19 is associated with lymphopenia, our patient had a normal to high lymphocyte count. The neutrophil to lymphocyte ratio (NLR) was &#x3c;1 during COVID-19, which correlates with the mild course of the disease. To know whether elevated lymphocyte count, low NLR, and benign course of COVID-19 is a standard feature for all patients with underlying AA, we need more case reports and series. The significance of this case report is that it describes the course of COVID-19 in a patient with AA and PNH clones and, up to our knowledge, is the first report showcasing the association between these rare combinations of diseases.

scholarly journals Tinea incognito: Report of two cases

1970 ◽  
Vol 6 (3) ◽  
pp. 46-49
Author(s):  
SK Kedia ◽  
M Mathur
Keyword(s):  
Case Report ◽  
Fungal Infection ◽  
Clinical Presentation ◽  
Topical Steroid ◽  
Medical Sciences ◽  
Diagnostic Challenge ◽  
Over The Counter ◽  
Inappropriate Use ◽  
General Physicians ◽  
Tinea Incognito

Tinea incognito remains diagnostic challenge even to expert specialist because of modified clinical presentation caused by of inappropriate use of topical steroid. Topical steroid are being prescribed frequently for vary many dermatosis including fungal infection of skin and being used by patient as "over the counter drug" leading to varied clinical presentation of common dermatosis. This case report is of iatrogenic dermatosis that was invariably misdiagnosed by general physicians. Key words: Tinea incognito; dermatosis; fungal infection. DOI: 10.3126/jcmsn.v6i3.4076Journal of College of Medical Sciences-Nepal, 2010, Vol. 6, No. 3 pp.46-49

scholarly journals Leishmania mexicana in a central Texas cat: clinical presentation, molecular identification, sandfly vector collection and novel management

2021 ◽  
Vol 7 (1) ◽  
pp. 205511692199959
Author(s):  
Kaitlin Hopke ◽  
Alyssa Meyers ◽  
Lisa Auckland ◽  
Sarah Hamer ◽  
David Florin ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Success ◽  
Leishmania Species ◽  
Canine Leishmaniosis ◽  
Leishmania Mexicana ◽  
Cutaneous Lesions ◽  
Clinical Appearance ◽  
Significant Clinical Improvement ◽  
Central Texas ◽  
The Right

Case summary This case report documents the clinical appearance, diagnosis and novel treatment of a central Texas cat with cutaneous leishmaniosis. The cat presented with a linear erosion on the right pinnal margin, an ulcerated exophytic nodule on the right hock and a swelling in the right nostril. Cytological and histopathological findings were consistent with leishmaniosis. PCR confirmed the presence of Leishmania mexicana, a species endemic to Texas. An epidemiological investigation was conducted by trapping sandflies from the cat’s environment. Sandflies collected were identified as Lutzomyia species, known vectors of Leishmania species. Given the lack of validated medical therapies for L mexicana in cats, treatments typically prescribed for canine leishmaniosis were administered. Allopurinol achieved clinical success but was discontinued due to suspected drug-related neutropenia. Topical imiquimod also improved lesional skin but was not sustainable due to application difficulty. Oral administration of artemisinin resulted in significant clinical improvement of cutaneous lesions without reported adverse events. Nearly 8 months after the initiation of artemisinin therapy, the cat remained systemically healthy with stable lesions. Relevance and novel information This case report demonstrates endemic feline leishmaniosis in central Texas and provides the clinician with alternative therapeutic options for medical management.

scholarly journals Successful treatment of gastrointestinal mucormycosis in an adult with acute leukemia: case report and literature review

2017 ◽  
Vol 24 (1) ◽  
pp. 61 ◽  
Author(s):  
A. Alghamdi ◽  
A. Lutynski ◽  
M. Minden ◽  
C. Rotstein
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Acute Leukemia ◽  
Fungal Infection ◽  
Antifungal Therapy ◽  
Successful Treatment ◽  
Invasive Fungal Infection ◽  
Hematologic Malignancies ◽  
Considerable Morbidity ◽  
Delays In Diagnosis

Mucormycosis has emerged as an important cause of invasive fungal infection in patients with hematologic malignancies. Gastrointestinal mucormycosis is an unusual presentation of this invasive fungal infection, and it causes considerable morbidity and mortality. Such outcomes are due in part to a nonspecific presentation that results in delays in diagnosis and treatment. Successful treatment of gastrointestinal mucormycosis involves surgical debridement and appropriate antifungal therapy.

CAPD Catheter Exit-Site and Tunnel Infection with Fungal Etiology—Treatment and Catheter Reinsertion for an Extremely Rare Complication

2017 ◽  
Vol 37 (2) ◽  
pp. 237-239
Author(s):  
Manmeet Singh Jhawar ◽  
Jasmin Das ◽  
Pratish George ◽  
Anil Luther
Keyword(s):  
Candida Albicans ◽  
Peritoneal Dialysis ◽  
Case Report ◽  
Fungal Infection ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Rare Complication ◽  
Exit Site ◽  
Duration Of Therapy ◽  
Tunnel Infection ◽  
Few Data

Fungal infection is an extremely rare etiology of exit-site and tunnel infection in patients on continuous ambulatory peritoneal dialysis (CAPD). There are few data available regarding its management—especially choice of antifungals, duration of therapy, and removal of catheter. There are no guidelines pertaining to reinsertion of the CAPD catheter following fungal exit-site and tunnel infection. This case report highlights Candida albicans as a rare cause of exit-site and tunnel infection of the CAPD catheter. The catheter was removed and the patient received appropriate antifungal therapy followed by reinsertion of the CAPD catheter and re-initiation on CAPD.

scholarly journals Frequency and types of skin disorders and associated diabetes mellitus in elderly Jordanians

2021 ◽  
Vol 8 (4-5) ◽  
pp. 574-578
Author(s):  
F. Najdawi ◽  
M. Fa'ouri
Keyword(s):  
Diabetes Mellitus ◽  
Bacterial Infection ◽  
Fungal Infection ◽  
Skin Disorder ◽  
Skin Diseases ◽  
The Elderly ◽  
Skin Lesions ◽  
Skin Disorders ◽  
Patients With Diabetes ◽  
Considerable Morbidity

A retrospective study of 232 elderly patients seen between August 1998 and April 2000 at the skin clinic in Princess Haya hospital, Aqaba, was undertaken to determine the prevalence of skin disorders, and those most commonly associated with diabetes mellitus, in the elderly. Eczema/dermatitis was the commonest skin disorder seen [25.9% of cases], followed by pruritus without skin lesions [15.1%], viral infection [14.7%, most commonly herpes zoster], fungal infection [13.8%], and bacterial infection [10.3%]. Bacterial infection was the commonest skin disorder in patients with diabetes mellitus [62.5%], followed by fungal infection [50.0%]. Skin diseases cause considerable morbidity in elderly people; health promotion and education can do much to reduce the risks of these disorders in the elderly, especially those with diabetes

scholarly journals Papulopustular rash following Moderna COVID-19 (mRNA-1273) vaccine: A case report

2022 ◽  
Vol 0 ◽  
pp. 1-5
Author(s):  
David Pudukadan
Keyword(s):  
Case Report ◽  
Adverse Events ◽  
Adverse Reactions ◽  
Healthcare Professionals ◽  
Systemic Steroids ◽  
Effective Care ◽  
Short Course ◽  
The World

Coronavirus disease-2019 (COVID-19) has affected countries around the world. The introduction of COVID-19 vaccines has proved the most effective arsenal in the fight against the disease. However, with the vaccination of billions of people, data on vaccine-induced adverse reactions are also emerging. We report a 32-year-old woman who manifested papulopustular rash 7 days after receiving Moderna COVID-19 (mRNA-1273) vaccine. The patient responded to a short course of systemic steroids and antihistamines. Awareness regarding the possible adverse events that can be anticipated after the COVID-19 vaccination may help the healthcare professionals to offer prompt and effective care to the affected.

scholarly journals A Review on Lepa Kalpana in Dadru W.R.T. to Brihatrayi and Laghutrayi

2021 ◽  
Vol 11 (4) ◽  
pp. 102-105
Author(s):  
Lalita Sharma ◽  
Sudama Singh Yadav
Keyword(s):  
Fungal Infection ◽  
Health Problem ◽  
Skin Diseases ◽  
Modern Science ◽  
Treatment Modalities ◽  
Major Health Problem ◽  
Psychological Burden ◽  
Major Health ◽  
Almost All ◽  
Topical Absorption

Skin is the outermost covering of body and the largest organ of the integumentary system. Skin diseases are major health problem with emotional and psychological burden on patients. In Ayurvedic classics, almost all the skin diseases come under the broad heading of Kushtha. Dadru is a type of Kushtha which can be correlated with Tinea infection (fungal infection) in modern science. Three genera of dermatophytes infect skin i.e. Trichophyton spp, Epidermophyton spp and Microsporum spp. Ayurveda describes a multitude of treatment modalities for skin diseases in relation with various types of kushtha. One of them is the topical use of medicaments over the skin for topical absorption which allows faster absorption and better management of skin diseases. Lepa kalpana is a herbal or herbo-mineral drug for topical use. Although lepa is an important therapy in various diseases but it is highly useful specifically in dermatological diseases. This review describes different lepas which are especially mentioned for Dadru in doctrines of Ayurveda. Key words: Dadru, Kushtha, Lepa kalpana , Skin diseases.

scholarly journals Management of Palmo-Plantar Psoriasis by Classical Shodhan and Shaman Chikitsa- A Case Report

2021 ◽  
Vol 12 (1) ◽  
pp. 166-170
Author(s):  
Anagha S Hirapure ◽  
Saurabh Deshmukh ◽  
Trupti Thakre
Keyword(s):  
Mental Health ◽  
Case Report ◽  
Severe Pain ◽  
Functional Disability ◽  
Skin Diseases ◽  
Lifestyle Modification ◽  
Skin Condition ◽  
Treatment Modalities ◽  
Specific Line

Background: Palmo-plantar psoriasis in a non-inflammatory skin condition in which it is capable to produce functional disability. It is the type of psoriasis which occurs in palms and soles together with features like scaling, erythema and itching, pustules cracked & pain, and is limited. Palmo-plantar is the disease which does not have a specific line of treatment, but can be assessed and treated with classical line of Ayurvedic management. This Palmo-plantar not only affects physically but also disturbs the mental health of patient In Ayurveda all the skin diseases are described under single topic; Kushtha (Skin disorders). As Palmo-Plantar psoriasis is compared with Vipadika Kshudra Kushta (cracked bilateral soles & palms) in Ayurveda, the predominant Dosha’s (fundamental bodily bio-elements) are Vata (governs movement of body & mind) & Kapha (controls immune system) in which Vaman Karma (Emesis) is useful. Aim: To evaluate the role of Ayurveda treatment modalities in Vipadika Kshudra Kushta. Materials & Methods: A case report of 56 year old male patient suffering from scaling of both palms and soles with severe pain since 16 years is presented in this article where the patient got satisfactory relief by adopting Shodhan Karma (purification treatment) followed by Shaman Chikitsa (pacifying treatment) with dietary and behavioral lifestyle modification. The symptoms were reduced by Vaman procedure. Result: Patient got about 80% relief after the treatment by which one can say that the palmo-plantar psoriasis can be treated by Ayurveda Medicine.

scholarly journals Case Report: Serial Topography Analysis After Acute Unilateral Diffuse Lamellar Keratitis

2020 ◽  
Vol 82 (3) ◽  
pp. 19-24
Author(s):  
Jonathan Jay Lytle
Keyword(s):  
Case Report ◽  
Refractive Error ◽  
Clinical Signs ◽  
Corneal Topography ◽  
Laser In Situ Keratomileusis ◽  
Refractive Errors ◽  
Fort Worth ◽  
Topical Corticosteroids ◽  
Gross Examination

Abstract Significance: Diffuse lamellar keratitis (DLK) is a widely reported complication of laser in-situ keratomileusis (LASIK); however, serial topography tracking the resolution of the condition is sparse. This case illustrates the healing profile which may be expected following an episode of DLK, and the patient reassurances which may be appropriate. Purpose: To report the topography changes and refractive resolution associated with a case of acute unilateral diffuse lamellar keratitis following bilateral femtosecond-assisted hyperopic LASIK. Case Report: A healthy 53-year old male presented with grade two-plus diffuse lamellar keratitis (DLK) 11 days after undergoing successful bilateral wavefront optimized (Alcon, Fort Worth, USA), femtosecond-assisted hyperopic LASIK. Resolution of the DLK was achieved in three weeks with topical corticosteroids. Stabilization of the patient’s topography and refractive error was observed two months after the resolution of the DLK. Conclusions: This case suggests that improvements in corneal topography and refractive error can be expected long after the clinical signs of DLK have subsided. Corneal irregularities and residual refractive errors (usually hyperopia and astigmatism) which exist at the time of resolution on gross examination should be monitored regularly and patients may be reassured that improvements appear likely even after topical regimens have been completed.

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