Solís RN, Muñóz HE, Villalobos ZMA

Language: Spanish
References: 16
Page: 1-6
PDF size: 669.71 Kb.

ABSTRACT

A 74-year old male patient, horse breaker from Turrubares, with a medical history of total gastrectomy, COPD and osteoporosis. The patient consulted due to a purplish slow growing tumor of 6 months of evolution in his left nostril. This growth was associated with mild epistaxis and foul smelling rhinorrhea. The medical examination, microbiological cultivation and tissue biopsy showed a Phaeohyphomycosis by Exophiala der matidis. Two months after surgery, recurrence of the tumor was documented and the patient was hospitalized for endovenous antifungic treatment with deoxycolate anfotericine B and itraconazol during 6 months. Nevertheless, after two months on itraconazol regimen, the patient was readmitted due to clinical recurrence and a new surgical resection was made. In addition, the treatment was switched to posaconazol. Later, the patient was asymptomatic and with no need for new interventions.

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