Unusual association of American cutaneous leishmaniasis and acquired immunodeficiency syndrome.
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Biomedical subjects
Publications and source records attributed to T Furtado.
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A case of cutaneous schistosomiasis with lesions on the trunk caused by eggs of Schistosoma mansoni is described. A brief review of the reported cases of cutaneous ectopic schistosomiasis by S. mansoni in made. The different forms of cutaneous lesions caused by schistosoma are considered.
The advances and perspectives in American (mucocutaneous) leishmaniasis are presented under the following topics: 1. Epidemiology in Latin America, particularly in Brazil. 2. Parameters for taxonomic identification of species and subspecies of the genus leishmania, which belong to L. mexicana and L. braziliensis complexes: biologic behaviour in hamster, in culture, in animal reservoir, clinical aspects, vectors, electronic microscopy, electrophoretic mobility of isoenzymes, radiorespirometry, DNA characterization, monoclonal antibodies, other immunological aspects and genetics. 3. Diagnosis by intradermal test, indirect immunofluorescence, ELISA, culture and animal inoculation. 4. Therapeutics and prevention by vaccination.
A case of Abrikossoff's granular-cell tumor is reported because of its unusually large dimensions (12.5 X 10.5 X 8.0 cm.), weight (700 g.) and supra-umbilical localization. Ample surgical excision of the tumor and reconstruction of the abdominal wall with silastic and skin graft were performed. Comments are made about the clinical, histopathological and histogenetic aspects of the neoplasia.
The incidence of occupational mycoses and the main criteria to make a correct diagnosis are commented. The sources of infection of the superficial and deep professional mycotic infections are analysed. The occurrence of an epidemic outbreak of sporotrichosis in 13 members of one family is reported. The parents and 11 sibling were infected with the grass utilized for the filling of mattress, in a small domestic craftsmanship.
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The mechanism of infection in South American blastomycosis is discussed, and the probability of a mild or asymptomatic form of the disease, regressing spontaneously with subsequent immunity, in persons living in endemic areas. Primary lesions in the oral mucosa or in the skin have not been convincingly shown to occur in paracoccidioidomycosis. Several reports of systemic involvement of many organs with no evidence of skin and mucosal lesions support the theory of pulmonary entry.
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