의인성 쿠싱 증후군 환자에서 발생한 피하 칸디다 농양
Subcutaneous Candidal Abscess in the Patient with Iatrogenic Cushing Syndrome
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Candida albicans is a dimorphic yeast which is responsible for 70 percent to 80 percent of all candidial infection, and is the most common cause of superficial and systemic candidiasis. Invasive candidiasis occurs under certain circumstances such as immunosuppression, prolonged hospitalization, and previous antibiotics use. We report a case of candidiasis with a unusual presentation of subcutaneous abscess. A 54 year-old woman came to our clinic with painful erythematous swelling plaques and nodules on the face and arms. She was hospitalized with generalized edema and weakness of both leg. She had a history of herbal medication for 1 year and was finally diagnosed with iatrogenic Cushing syndrome in department of the endocrinology. Biopsy of the lesion revealed chronic inflammation in dermis and subcutis and budding yeasts with pseudohyphae were shown in Gomoris Methenamine silver stain. And Candida albicans was identified by fungus culture.
Abstract
Candida albicans is a dimorphic yeast which is responsible for 70 percent to 80 percent of all candidial infection, and is the most common cause of superficial and systemic candidiasis. Invasive candidiasis occurs under certain circumstances such as immunosuppression, prolonged hospitalization, and previous antibiotics use. We report a case of candidiasis with a unusual presentation of subcutaneous abscess. A 54 year-old woman came to our clinic with painful erythematous swelling plaques and nodules on the face and arms. She was hospitalized with generalized edema and weakness of both leg. She had a history of herbal medication for 1 year and was finally diagnosed with iatrogenic Cushing syndrome in department of the endocrinology. Biopsy of the lesion revealed chronic inflammation in dermis and subcutis and budding yeasts with pseudohyphae were shown in Gomoris Methenamine silver stain. And Candida albicans was identified by fungus culture.
참고문헌 (13)
- 최진혁, "표재성 피부칸디다증에서 칸디다 균종의 분리 및 동정", 대한피부과학회지, 40(10), pp.1188~1194 (2002), 대한피부과학회
- Perlroth J, "Nosocomial fungal infections: epidemiology, diagnosis, and treatment", Med Mycol, 45, pp.321~346 (2007)
- Williams GH, "Disorders of the adrenal cortex in: Harrison's principles of internal medicine. 16th ed", pp.2127~2140 (2005), McGraw-Hill
- Graham BS, "Opportunistic infections in endogenous Cushing's syndrome", Ann Intern Med, 101, pp.334~338 (1984)
- Kwon SK, "Identification of candida species using CHROMagar candida in superficial cutaneous candidiasis", Korean J Dermatol, 43, pp.1343~1348 (2006)
- Goldstein N, "Carbuncles caused by Candida albicans", J Am Acad Dermatol, 14, pp.511~512 (1986)
- Janik MP, "Yeast infections: Candidiasis and tinea (pityriasis) versicolor in: Leffell DJ Fitzpatrick's dermatology in general medicine. 7th ed", pp.1822~1830 (2007), McGraw-Hill
- Bardwell A, "Disseminated macronodular cutaneous candidiasis in chronic alcoholism", Arch Intern Med, 146, pp.385~386 (1986)
- Benson PM, "Nodular Subcutaneous abscess caused by Candida tropicalis", J Am Acad Dermatol, 16, pp.622~623 (1987)
- Tuon FF, "Candida albicans skin abscess", Rev Inst Med Trop S Paulo, 48, pp.310~302 (2006)
- Hsu WC, "Tuboovarian abscess caused by candida in a woman with an intrauterine device", Gynecol Obstet Invest, 64, pp.14~16 (2007)
- Bastide C, "Prostatic abscess due to Candida tropicalis", Prostate Cancer Prostatic Dis, 8, pp.296~297 (2005)
- Vonk AG, "Treatment of intra-abdominal abscesses caused by Candida albicans with antifungal agents and recombinant murine granulocyte colony-stimulating factor", Antimicrob Agents Chemother, 47, pp.3688~3693 (2003)