João Cláudio Barroso Pereira 1
Amorita Grijó 2
Rosângela Ribeiro Machado Pereira 3
Andreza Noel S Oliveira 4
Ana Cláudia de Andrade 4
Ana Cláudia M Ferreira 4
Christiane Corrêa Brant Machado 4
Débora Veiga Coutinho 4
]]> Danilo Vale Rios 4Bárbara Pereira Pires 4
Resumo
Os autores relatam caso de doente com história prévia de alcoolismo que apresentou lesões cutâneas ulceradas, nodulares difusas no tronco e nos membros inferiores, acompanhando trajecto dos linfonodos. A doente tinha telerradiografia de tórax que mostrou infiltrado intersticial reticulonodular nas bases. O resultado da cultura de nódulo supraclavicular foi positiva para Sporothrix schenckii. Após tratamento específico, principalmente com iodeto de potássio, houve regressão das lesões cutâneas e do infiltrado. Foi considerada uma discussão sobre as formas de apresentação da doença, ressaltando o acometimento pulmonar. Foram também abordados diagnóstico e tratamento da esporotricose.
Palavras-chave: Esporotricose, lesões cutâneas, infiltrado intersticial nas bases.
Disseminated sporotrichosis – Clinical case and discussion
]]> The authors report a case of a patient with a prior history of alcohol abuse who developed nodules and ulcerated skin lesions on his trunk and lower extremities along the line of the lymphatic draining area. The patient's X-ray showed reticular nodular intersticial infiltrates at the lung bases. There was a positive culture of supraclavicular lymph node for Sporothrix schenckii. After specific treatment using mainly potassium iodide, there was regression of cutaneous lesions and lung infiltrates. The authors present a discussion on the deseases' forms of presentation, highlighting the lung involvement ans further discuss the diagnosis and treatment of sporotrichosis.Key-words: Sporotrichosis, cutaneous lesions, intersticial infiltrates of lung bases.
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1 Médico do CRA-DIP do Hospital Municipal Nelson de Sá Earp e do Programa de Controle da Tuberculose da SMS-Petrópolis e do Serviço de Atendimento Especializado da SMS-Belford Roxo – Rio de Janeiro Brasil.
2 Médica do DIP do Hospital Municipal Nelson de Sá Earp e Professora da Faculdade de Medicina – Petrópolis.
3 Médica radiologista do Hospital Estadual Carlos Chagas e Hospital Municipal Rocha Maia – Rio de Janeiro.
4 Alunos do 5.º ano do curso de Medicina da Faculdade de Medicina de Petrópolis.
]]> Director do Hospital Municipal Nelson de Sá Earp (HMNSE): Dr. Roberto Silveira.HMNSE – Rua Paulino Afonso, 455 – Bairro Bingen – Petrópolis – Rio de Janeiro – Brasil.
Trabalho apresentado sob forma de poster no XXII Congresso de Pneumologia e IV Congresso Luso-Brasileiro de Pneumologia pelo médico João Cláudio Barroso Pereira.
Recebido para publicação/received for publication: 07.10.15