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Non habitual microscopic forms of Histoplasma capsulatum in disseminated disease

Asian Pacific Journal of Tropical Medicine 2008年第2期1卷 28-30页

作者： Bava AJ Garro S Troncoso A University of La Plata Argentina Department of Infectious Diseases "Francisco J.Mutiiz" HospitalBuenos AiresArgentina School of Medicine University of Buenos AiresArgentina

This paper communicates the presence of aberrant microscopic forms of Histoplasma capsulatum in a sample obtained by scrapping of the skin lesion and stained with a rapid modification of the Grocott *** AIDS patient was treated with cream contained corticoids and antifungal and antibacterial antibiotics by an erroneous *** the etiologic diagnosis was achieved,oral itraconazol was administrated at the daily dose of 400 mg during at least six *** non habitual forms described in the literature as " aberrant variants", can be interpreted as an "adaptive phenomenon" of this termodimorphic fungal specie,as response of the ecologic alterations produced by antibiotic on the local antagonic bacterial microbiota,the deleterous activity of antifungal on the fungal cells and the local inmunodepression produced by the corticoids.

关键词： aberrant Histoplasma capsulatum AIDS associated histoplasmosis Endemic Mycoses and AIDS

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Evaluation of berries of Phytolacca dodecandra for growth inhibition of Histoplasma capsulatum *** and treatment of cases of epizootic lymphangitis in Ethiopia

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Asian Pacific Journal of Tropical Biomedicine 2012年第7期2卷 505-510页

作者： Negesse Mekonnen Eyasu Makonnen Nigatu Aklilu Gobena Ameni Department of Pharmacology School of MedicineAddis Ababa University Aklilu Lemma Institute of Pathobiology Addis Ababa University Society for the Protection of Animals Abroad(SPANA) School of Veterinary MedicineAddis Ababa University

Objective:To evaluate the berries of Phytolacca dodecundra(***) for its effect on Histoplasma cupsulatum ***(HCF) and for the treatment of cases of epizootic lymphangitis(***:Samples were collected from un-ruptured nodules of cases of EL at Debre Zeit and Akaki(central Ethiopia).Mycologieal culture and isolation of HCF were performed at the Akliln Lemma Institute of *** screening was done for n-butanol extract of *** to delect alkaloids,saponins,phenolic compounds and *** minimum inhibitory concentrations(MICs) and minimum fungicidal concentrations(MFCs) ol aqueous and n-butanol extracts of *** against FICF were determined by agar dilution *** the in vivo trial.5%simple ointment was prepared from n-butanol extract and applied topically to 24(twelve early and twelve moderate) cases of ***:Phytochemical screening showed that n-butanol extract ol *** was positive lor *** and phenolic compounds but negative for *** MFCs of n-butanol and aqueous extracts of *** were(0.039%-0.078%) and(0.625%-1.250%),*** MFCs of n-butanol and aqueous extracts of *** were(0.078%t-0.156%)and(1.250%-2.500%),*** MIC and MFC of ketoconazole(positive control) was(1.200×10^(-5)%-2.500×10^(-5)%) and(5.000× 10^(-5)%-1.000×10^(-4)%),respectively while growth was observed on free medium(negative control).From the total of 24 treated cases of EL,14(58.3%) responded lo treatment;however,10(41.7%) did not respond to *** was no significant difference in the degree of response to treatment between early and moderate cases(χ~2=0.086:P=***:It can be concluded that n-butanol extract of *** demonstrates antifungal effects while the aqueous extract shows no antifungal activity.

关键词： Epizootic lymphangitis Phytolacca dodecandra Histoplasma capsulatum var.farciminosum Minimum inhibitory concentration Minimum fungicidal concentration Phytochemical screening Antifungal activity Agar dilution assay Mycological culture In vivo trial Contagious disease Chronic disease Lymphangitis

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Primary Histoplasmosis of Larynx: A Case Series and Review of Literature

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International Journal of Otolaryngology and Head & Neck Surgery 2013年第2期2卷 47-51页

作者： Nishi Sonkhya Raghav Mehta Divij Sonkhya Shubha Gupta Mansi Faujdar Department of Ear Nose and Throat N.K.P. Salve Institute & Lata Mangeshker Hospital Jaipur India Department of Ear Nose and Throat S.M.S. Medical College and Hospital Jaipur India S.D.M. Hospital Jaipur India

Objective: Aim of the study was to analyze 10 managed cases of Primary Histoplasmosis of Larynx, over a period of 10 years. Design: Retrospective, non-randomized, interventional case series. Patients and Method: This study was conducted in the Department of Otorhinolaryngology S.M.S Medical College from 2002 to 2011. The study consisted of evaluation of self-reported and referred patients who presented to ENT OPD and emergency. In all the cases a detailed history and clinical examination was done. All the patients underwent fiber optic laryngoscopy and subsequent direct laryngoscopy and biopsy. CT Scans were obtained for few cases. The study was a retrospective analysis of 10 treated cases. Main Outcome and Measures: Success of the treatment was defined as resolution of symptoms, differ-entiation from malignancy, no recurrence and regular follow up. Result: A total of 10 cases were managed between 2002 and 2011 and were reviewed. The main presentation was hoarseness of voice, with lesion simulating malignancy. Most common site of involvement was false cord and aryepiglottic fold (6 cases). Primary laryngeal Histoplasmosis was essentially a disease of adult males in all 10 cases. Treatment was exclusively medical with use of Itraconazole as drug of choice in 7 cases. Conclusion: Isolated laryngeal Histoplasmosis is a rare entity. Because of its simulation with malignancy it needs to be included in the differential diagnosis of neoplasm both benign and malignant. Our study clearly limits this kind of disease to adult males most commonly involving false cord and aryepiglottic fold in an endophytic pattern. Though it looks like cancer;biopsy confirms the diagnosis. The treatment is mainly medical with Itraconazole being the drug of choice.

关键词： Laryngeal Histoplasmosis Histoplasma capsulatum Laryngeal Malignancy

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