Blastomycosis-like pyoderma.
Blastomycosis-like pyoderma.
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DOI：
10.4103/0378-6323.31900
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发表时间：
2007-03
期刊：
影响因子：
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通讯作者：
Shweta S Sawalka;M. Phiske;H. Jerajani
中科院分区：
文献类型：
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作者：
Shweta S Sawalka;M. Phiske;H. Jerajani
患者女，9岁。15天来，躯干、上下肢反复出现对称分布的肉色营养斑、丘疹、结节。检查显示贫血、低蛋白血症、白蛋白减少和D-木糖试验阳性。脓液拭子和活检培养敏感性显示肠球菌属。活检显示海绵状银屑病样皮炎伴角膜下脓疱。她符合芽生菌病样脓癣的诊断标准，即：组织学上表现为大疣状斑块伴脓疱和边缘升高、假上皮瘤样增生伴脓肿，培养或组织活检时有一种致病菌生长。她对长期阿莫西林-克拉维酸治疗有反应。
A 9-year-old female, presented with recurrent bilaterally symmetrically distributed flesh colored vegetative plaques, papules and nodules on trunk and upper and lower extremities since 15 days. Investigations revealed anemia, hypoproteinemia, decreased albumin and positive D-xylose test. Pus swab and biopsy for culture sensitivity showed Enterococci species. Biopsy showed spongiotic psoriasiform dermatitis with subcorneal pustule. She fulfilled criteria for the diagnosis of blastomycosis-like pyoderma viz. presentation of large verrucous plaques with pustules and elevated border, pseudoepitheliomatous hyperplasia with abscess histologically and growth of one pathogenic bacterium on culture or tissue biopsy. She responded to long-term amoxicillin-clavulanic acid therapy.