Treatment

Primary and secondary syphilis The treatment of choice for all those type of syphilis is parenteral penicillin G ( Clin Infect Dis 1995 20 (Suppl 1) S23-38). In adults, benzathine penicillin G, 2.4 million U in a single IM dose is indicated. In Fig. 34.5. Late benign syphilis, nodular lesions. Fig. 34.5. Late benign syphilis, nodular lesions. children with acquired primary or secondary syphilis benzathine penicillin G 50,000 U Kg in a single IM dose. In late syphilis benzathine penicillin G 2.4...

Geographic Distribution

Candidiasis occurs worldwide it causes up to 25 of the superficial mycoses involving nails (35 ), skin (30 ), and the mucosae (20 ). There is no predilection for race, sex, or age. It affects 4-8 of newborns. Candida vulvovaginitis is more common between age 20-30 years of age, and is present in 20-30 of gynecological infections. Balanitis occurs in adult and elderly men. Oral candidiasis occurs in persons with immunoincompetence, in children under 10, and in the elderly. The intertrigous and...

Laboratory Data

Biopsy is not necessary except in deep mycosis. Superficial types show hyperkeratosis and keratinous follicular plugs. PAS or Gomori-Grocott stains show filaments in the horny layer. Neutrophils, vasodilatation and a mild to dense lymphohistiocytic infiltrate are seen. In kerion there are pustules or abscesses, and spores and or filaments can be found in the dermis. In the trichophytic granuloma, besides the presence of the parasite, giant and epithelioid cells are observed. A Wood's lamp is...

Clinical Picture

Involvement of large skin folds frequently precedes caloric intertrigo. Initially there is marked erythema which is followed, within hours, by the appearance of vesicles, eczema and maceration depending on the intensity. During the ensuing days satellite vesicles or dryness and scaling with hypochro-mic spots appear around the plaques. The most commonly affected areas are the neck, axillae, groin, intergluteal fold, submammary folds, popliteal fossae and antecubital fossae. In babies and obese...

Etiology

There are three groups of dermatophytes Trichophyton, Microsporum and Epidermophyton (there are 41 species, just 11 are common). The infections they cause are restricted to keratin-containing structures such as skin, hair and nails. There is a natural host defense to dermatophytes which depends on an antifungal serum factor whose existence is controversial, sebaceous secretion and acquired immune resistance. Dermatophytic infections can be transmissible from the environment (geophilic, M....

Ashy Dermatologist Treatment

The following have been used Antihistamines, vitamins, glucocorticoids, antibiotics, diaminodiohenylsulfone, isoniazid, griseofulvin, chloroquine, estrogens and placebo. Clofazimine 50-100 mg 3 times a week for 3-5 months yields the best results (Int J Dermatol 1989 28(3) 198-200). Fig. 65.4. Ashy dermatosis, histpathology (H.E. 20X). Fig. 65.4. Ashy dermatosis, histpathology (H.E. 20X). 1 Arenas R, Bautista M et al. Dermatosis cenicienta estudio de 8 pacientes...

Que Es Inllersion Repodral

Cutaneous leishmaniasis may heal spontaneously, yet the following treatments yield good results trivalent antimonials administered parenterally such as repodral and anthiomalin 2-3 ml 0.02-0.03 g on alternate days in 12-20 doses and the pentavalents like glucantime meglumine antimoniate 10-20 mg kg for 12 days to 3 weeks or until the lesions have healed. Another medication, pentostam sodium stibogluconate 20 mg kg day may be given for 20 days. For cutaneous disease antimonials may be injected...

Trichinosis

Rafael Herrera-Esparza and Esperanza Avalos-Diaz This is a parasitic disease caused by Trichinella spiralis filum nematode, aphasmidia class, superfamily Trichinelloidea . The family has eight groups of genes T1-T8 and at least four of them can be identified in a species. The genome of the parasite is composed of six haploid chromosomes with a total of 2.4 x 10-8 pb Parasitol Today 1992 8 299-306 . The larval morphology varies according to the five stages of postembryonic development. At birth...