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 A study on the clinical profile of dermatoses induced by topical corticosteroids

2021 ◽  
Vol 7 (2) ◽  
pp. 177
Author(s):  
Vontela Rohit ◽  
S. Rajesh Reddy ◽  
Narendar Gajula ◽  
Karing Deepthi
Keyword(s):  
Side Effects ◽  
Clinical Presentation ◽  
Tertiary Care ◽  
Topical Steroid ◽  
Age Group ◽  
Over The Counter ◽  
Study Region ◽  
Topical Corticosteroids ◽  
Wide Range ◽  
Tinea Incognito

<p class="abstract"><strong>Background:</strong> Topical corticosteroids (TC), commonly used for a wide range of skin disorders, are associated with many side effects with their overuse, abuse and over-the-counter use as a cosmetic. This article aims to study clinical presentation of various dermatoses induced by abuse of TC in order to bring awareness among patients and practitioners to use topical corticosteroids with utmost caution.</p><p class="abstract"><strong>Methods:</strong> This study was conducted at DVL department of a tertiary care teaching hospital over 23 consecutive months. A total of 200 consecutive patients of all ages and both genders with topical steroid induced dermatoses were included in the study. A detailed clinical evaluation was undertaken, data was then recorded and analysed.</p><p class="abstract"><strong>Results:</strong> Majority of the patients were females (56%). Most common age group was 20-29 years (42%). Majority used TC as a remedy for dermatophytosis (38%), followed by use as a fairness/cosmetic cream (20%). Most of patients (29.5%) used TC for 6 months duration. Most commonly used TC formulation was 0.05% clobetasol propionate (37.5%). Majority patients (62%) did not have a valid prescription of which 47% used TC on Quacks’s advice. The most common side effects encountered were tinea incognito (33%), steroid-induced acne (20.5%), hyperpigmentation (14.5%), and hypopigmentation in 22 (11%).</p><p class="abstract"><strong>Conclusions:</strong> Present study highlights irrational prescription of TC by non-dermatologists for dermatophytosis which are very common in this particular study region and emphasizes the need to educate patients about serious adverse effects of TC abuse.</p>

A rare case report of neonatal iliopsoas abscess presenting as swelling of left hip

2020 ◽  
pp. 1-6
Author(s):  
Maimoona Saeed ◽  
Iqtada Haider Shirazi
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Clinical Presentation ◽  
Psoas Abscess ◽  
Rare Condition ◽  
Medical Sciences ◽  
Rare Case Report ◽  
Key Words Abscess ◽  
Systemic Antibiotics ◽  
Bluish Discoloration

Abstract We report the case of a 12 days old baby boy who presented with swelling and bluish discoloration on his left hip at Pakistan Institute of Medical Sciences in November 2018. Ultrasound (USS) was useful in making the diagnosis of a neonatal psoas abscess. He was treated with extraperitoneal drainage and with systemic antibiotics. The clinical presentation and diagnosis, treatment of this rare condition and brief literature review is given in this case report. Key Words: Abscess, Iliopsoas, Neonate, Staphylococcus aureus, Extraperitoneal Drainage. Continuous....

Rhinoscleroma: A Case Report and Clinical Update

1993 ◽  
Vol 7 (6) ◽  
pp. 281-286
Author(s):  
Welby Winstead ◽  
Thomas V. Connely ◽  
Martin J. Raff
Keyword(s):  
Case Report ◽  
Respiratory Tract ◽  
Clinical Presentation ◽  
High Dose ◽  
Diagnostic Challenge ◽  
Acute Symptom ◽  
High Dose Treatment ◽  
The World ◽  
The U.S ◽  
Laryngeal Involvement

Rhinoscleroma is a chronic granulomatous inflammatory disease caused by Klebsiella rhinoscleromatis. Initially described as a lesion of the nose, rhinoscleroma may involve any part of the respiratory tract. Although it is endemic in many parts of the world, rhinoscleroma has been rarely recognized in the U.S. In this report, we present a case of rhinoscleroma that illustrates the diagnostic challenge and therapeutic dilemma this disease presents. The significance of laryngeal involvement is emphasized. We review the clinical presentation, diagnosis, and treatment of rhinoscleroma. Ciprofloxacin was found effective in controlling acute symptom; however, longterm, high dose treatment has not been curative.

scholarly journals Hemorrhagic bullae in henoch-schonlein purpura: A case report

2012 ◽  
Vol 6 (4) ◽  
pp. 46-48
Author(s):  
S Parajuli ◽  
U Paudel ◽  
DP Koirala ◽  
AR Ojha
Keyword(s):  
Case Report ◽  
Topical Steroid ◽  
Male Child ◽  
Initial Presentation ◽  
Medical Sciences ◽  
Henoch Schonlein Purpura ◽  
Hemorrhagic Bullae ◽  
Schonlein Purpura ◽  
Henoch Schönlein Purpura

We report a case of ten year old male child of Henoch-Schönlein purpura (HSP) who presented initially with predominant hemorrhagic bullae in extremities. Initial presentation with bullae is rare in HSP. The child recovered within two weeks with a course of systemic and topical steroid without any sequel. Journal of College of Medical Sciences-Nepal,2011,Vol-6,No-4, 46-48 DOI: http://dx.doi.org/10.3126/jcmsn.v6i4.6725

Cutaneous Mucormycosis: Case Report

2020 ◽  
pp. 1-3
Author(s):  
Maya Korem ◽  
Oshrat Ayalon ◽  
Ruba Ibrahim ◽  
Michal Neumark ◽  
Maya Korem
Keyword(s):  
Case Report ◽  
Fungal Infection ◽  
Treatment Modality ◽  
Clinical Presentation ◽  
Diabetic Patients ◽  
Antimitotic Agent ◽  
Direct Inoculation ◽  
Cutaneous Mucormycosis

Treatment with 5-FU cream, an antimitotic agent, is primarily used for the treatment of superficial keratinocytic lesions. This treatment modality has the potential to cause severe localized inflammation with subsequent erythema, pain and crusted erosions. Cutaneous mucormycosis is an opportunistic emerging fungal infection. It is rapidly progressive and affects immunosuppressed or poorly controlled diabetic patients primarily by direct inoculation or secondarily by dissemination. The clinical presentation can be challenging due to its initial nonspecific features and therefore leading to a delay in the diagnosis. Herein, we report a case of mucormycosis of the scalp following treatment with topical 5-FU.

scholarly journals COVID-19 Associated Rhino-Orbital Mucormycosis Complicated by Gangrenous and Bone Necrosis—A Case Report from Honduras

Vaccines ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 826
Author(s):  
Elsa Yolanda Palou ◽  
María Auxiliadora Ramos ◽  
Emec Cherenfant ◽  
Adoni Duarte ◽  
Itzel Carolina Fuentes-Barahona ◽  
...  
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Early Diagnosis ◽  
Fungal Infection ◽  
Invasive Fungal Infection ◽  
Immunocompromised Patients ◽  
Bone Necrosis ◽  
Inappropriate Use ◽  
Prompt Treatment ◽  
Life Threatening

Background: Mucormycosis is a life-threatening invasive fungal infection most commonly observed in immunocompromised patients. Throughout the COVID-19 pandemic, a growing number of Mucorales associated infections, now termed COVID-19 associated mucormycosis (CAM), have been reported. Despite an increase in fatality reports, no cases of rhino-orbital CAM complicated with gangrenous bone necrosis have been described in the literature to date. Case: A 56-year-old male with a recent COVID-19 diagnosis developed rhino-orbital mucormycosis after 22 days of treatment with dexamethasone. Cultures and histopathological assessment of tissue biopsy confirmed the diagnosis. The patient survived after treatment with amphotericin B. Conclusions: Mucormycosis is an invasive fungal infection affecting mostly immunocompromised patients. Along with the COVID-19 pandemic, the inappropriate use of steroids, in addition to concurrent risk factors, such as diabetes, has led to an increase in the occurrence of these devastating mycoses, leading to the development of severe presentations and complications, as observed in many cases. Early diagnosis and prompt treatment are crucial in order to avoid dissemination and fatal outcomes.

scholarly journals Isolated intraventricular conduction delay in fulminant myocarditis: A case report

2020 ◽  
pp. 102490792091152
Author(s):  
Yat Hei Lo ◽  
Yau Tak Wong
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Clinical Presentation ◽  
Fulminant Myocarditis ◽  
Conduction Delay ◽  
Diagnostic Challenge ◽  
Intraventricular Conduction ◽  
Wide Range ◽  
Intraventricular Conduction Delay ◽  
Acute Inflammatory Cell

Introduction: Fulminant myocarditis is uncommon. Making the diagnosis in the emergency department is difficult due to the nonspecific clinical presentation and electrocardiogram results. Case presentation: A 58-year-old Chinese woman presented to an emergency department with dizziness and malaise for 2 days. She was hypotensive and afebrile. Initial electrocardiogram showed isolated nonspecific intraventricular conduction delay. Despite resuscitation, she rapidly deteriorated in the emergency department and eventually succumbed. Autopsy and histological examination of heart muscle found acute inflammatory cell infiltration and multifocal necrosis, suggestive of acute fulminant myocarditis. Discussion: There is a wide range of differential diagnosis of nonspecific intraventricular conduction delay. Clinical presentation of mycoarditis is also often non-specific. Rapid and accurate recognition of the condition is essential to save life. Conclusion: Fulminant myocarditis presenting with cardiogenic shock and isolated intraventricular conduction delay on electrocardiogram poses a diagnostic challenge as illustrated in this case report.

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 Tinea incognito with unjustified use of potent Topical Corticosteroids: a case series

2017 ◽  
Vol 6 (8) ◽  
pp. 2087
Author(s):  
Haiya J. Sheth ◽  
Santosh P. Rathod ◽  
Raju G. Chaudhary ◽  
Supriya D. Malhotra ◽  
Pankaj R. Patel
Keyword(s):  
Symptomatic Relief ◽  
Topical Steroid ◽  
Case Series ◽  
Superficial Infection ◽  
Steroid Abuse ◽  
Inappropriate Use ◽  
Monitoring Centre ◽  
Topical Corticosteroids ◽  
Chief Complaints ◽  
Tinea Incognito

Topical corticosteroids prescribed for various dermatological conditions, if used haphazardly have their adverse effects too, like aggravation of underlying infections - tinea, herpes etc. Tinea incognito is a fungal infection of skin masked and often exacerbated by application of topical immunosuppressive or steroid agent. Tinea incognito results because local physicians/chemists might mistake tinea with a simple rash. Availability of a topical steroid cream as an over the counter (OTC) drug is also one of the causes. Once it is diagnosed (clinically with or without KOH mount preparation), it should be thoroughly treated with oral and topical antifungal agents. Four cases presenting to Dermatology OPD VSGH with chief complaints of itching and aggravation of existing lesions due to application of potent topical corticosteroids like Clobetasol and Beclomethasone have been discussed here. They were diagnosed as cases of Topical Corticosteroids induced Tinea Incognito. The patients were recovering with oral and topical antifungals prescribed by dermatologist. These were also reported to nearest ADR Monitoring Centre under PvPI with Probable causality according to WHO UMC Criteria for Causality Assessment. The wide use of topical corticosteroids is due to its immediate symptomatic relief. However, the normal presentation of superficial infection gets altered with their inappropriate use. Lack of awareness among population, steroid abuse by local physicians or no strict regulations for local chemist shops have led to its inappropriate use. Its incidence ranges from 5-15%. These figures point towards the fact that implementation of appropriate regulations for the safe use of topical corticosteroids is essential.

scholarly journals Pancoast Tumor Masquerading as Cervical Spondylosis: a Case Report

2013 ◽  
Vol 2 (2) ◽  
pp. 184-186
Author(s):  
MK Gupta ◽  
K Dhungel ◽  
K Ahmad ◽  
RK Rauniyar ◽  
S Ansari
Keyword(s):  
Case Report ◽  
Cervical Spondylosis ◽  
Clinical Presentation ◽  
Delayed Diagnosis ◽  
Left Shoulder ◽  
Anatomical Location ◽  
Medical Sciences ◽  
Pancoast Tumor ◽  
Initial Symptoms ◽  
Tingling Sensation

Pancoast tumor is a primary carcinoma occurring at the apex of the lungs. These tumors have distinct clinical presentation because of their anatomical location and the resultant clinical entity, called Pancoast syndrome, presents as severe pain in the neck, shoulder and arm and as Horner’s syndrome. The initial symptoms are most frequently musculoskeletal in nature and the pulmonary symptoms of lung cancer are rather rare resulting in delayed diagnosis of this condition in majority of the cases. We report a case of 65-year-old female who presented with pain in the neck, left shoulder and arm along with numbness and tingling sensation in her forearm and hand mimicking clinically as cervical spondylosis. On detailed evaluation, she was diagnosed to have Pancoast tumor. This case report highlights the clinical presentation of Pancoast tumor and emphasizes the importance of its inclusion in the differential diagnosis of patients presenting with persistent pain in the neck and shoulder. Nepal Journal of Medical Sciences | Volume 02 | Number 02 | July-December 2013 | Page 184-186 DOI: http://dx.doi.org/10.3126/njms.v2i2.8973  

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