Histoplasmose cutânea reveladora de infecção pelo HIV
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Resumo
Histoplasmosis is a systemic mycosis endemic in extensive areas of the Americas. The authors report on an urban adult male patient with uncommon oral-cutaneous lesions proven to be histoplasmosis. Additional investigation revealed unnoticed HIV infection with CD4+ cell count of 7/mm3. The treatment was performed with amphotericin B, a 2065 mg total dose followed by itraconazole 200mg/daily plus antiretroviral therapy with apparent cure. Histoplasmosis is an AIDS-defining opportunistic disease process; therefore, its clinical diagnosis must drive full laboratory investigation looking for unnoted HIV-infection. © 2013 by Anais Brasileiros de Dermatologia.
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Acquired immunodeficiency syndrome , Amphotericin B , Histoplasmosis , amphotericin B deoxycholate , antiretrovirus agent , itraconazole , adult , biopsy , case report , CD4 lymphocyte count , CD8+ T lymphocyte , histopathology , histoplasmosis , human , Human immunodeficiency virus infection , human tissue , malaise , male , mouth examination , mouth lesion , serodiagnosis , virus load
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Citação
Anais Brasileiros de Dermatologia, v. 88, n. 3, p. 420-423, 2013.
