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[ Article ] Subcutaneous Granulomatous inflammation due to Basidiobolomycosis : Case Report of 3 patients in Burili Ulcer Endemic Areas in Benin
| Date de soumission: | 29-03-2018 |
|---|---|
| Année de Publication: | 2018 |
| Entité/Laboratoire | Laboratoire de Biologie Humaine (LBH) |
| Document type : | Article |
| Discipline(s) : | Anatomie(cytologie, hystologie, embryologie...) & Physiologie |
| Titre | Subcutaneous Granulomatous inflammation due to Basidiobolomycosis : Case Report of 3 patients in Burili Ulcer Endemic Areas in Benin |
|---|---|
| Auteurs | Brun Luc V. C. [1], Roux Jean Jacques [2], SOPOH GHISLAIN E. [3], Aguiar Julia [5], Eddyani Miriam [6], Meyers Wayne M. [0], Stubbe Dirk [0], Akele Akpo Marie T. [0], PORTAELS Françoise [0], de Jong Bouke C. [0], |
| Journal: | Hindawi |
| Catégorie Journal: | Internationale |
| Impact factor: | 0 |
| Volume Journal: | 1351694 |
| DOI: | https://doi.org/10.1155/2018/1351694 |
| Resume | Background. Basidiobolomycosis is a rare subcutaneous mycosis, which can be mistaken for several other diseases, such as soft tissue tumors, lymphoma, or Buruli ulcer in the preulcerative stage. Microbiological confirmation by PCR for Basidiobolus ranarum and culture yield the most specific diagnosis, yet they are not widely available in endemic areas and with varying sensitivity. A combination of histopathological findings, namely, granulomatous inflammation with giant cells, septate hyphal fragments, and the Splendore-Hoeppli phenomenon, can confirm basidiobolomycosis in patients presenting with painless, hard induration of soft tissue. Case Presentations. We report on three patients misdiagnosed as suffering from Buruli ulcer, who did not respond to Buruli treatment. Histopathological review of the tissue sections from these patients suggests basidiobolomycosis. All patients had been lost to follow-up, and none received antifungal therapy. On visiting the patients at their homes, two were reported to have died of unknown causes. The third patient was found alive and well and had experienced local spontaneous healing. Conclusion. Basidiobolomycosis is a rare subcutaneous fungal disease mimicking preulcerative Buruli ulcer. We stress the importance of the early recognition by clinicians and pathologists of this treatable disease, so patients can timely receive antifungal therapy |
| Mots clés | Subcutaneous Granulomatous, Basidiobolomycosis, Buruli Ulcer |
| Pages | 2 - 6 |
| Fichier |  (PDF) |
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