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Kantarcioglu AS, Sandoval-Denis M, Aygun G, Kiraz N, Akman C, Apaydin H, Karaman E, Guarro J, de Hoog GS, Gurel MS. First imported coccidioidomycosis in Turkey: A potential health risk for laboratory workers outside endemic areas. Med Mycol Case Rep 2014; 3:20-5. [PMID: 24567896 PMCID: PMC3930961 DOI: 10.1016/j.mmcr.2014.01.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2013] [Revised: 12/19/2013] [Accepted: 01/10/2014] [Indexed: 12/03/2022] Open
Abstract
Coccidioidomycosis caused by Coccidioides immitis or Coccidioides posadasii is endemic in arid climate zones in America, travel-related cases have been reported. We report the first documented case of coccidioidomycosis in Turkey, overviewing reported cases in Europe and underlying difficulties of differential diagnosis outside endemic regions. The patient was an otherwise healthy 41-year-old man who travelled endemic areas. Laboratory diagnosis was based on direct microscopy of two subsequent subcutaneous biopsy specimens and culture and confirmed molecularly. Laboratory personnel should become aware that BioSafety Level-3 organisms may become more frequent and widespread.
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Affiliation(s)
- A Serda Kantarcioglu
- Cerrahpasa Medical Faculty, Department of Medical Microbiology, Deep Mycosis Laboratory, Istanbul University, Istanbul 34098, Turkey
| | - M Sandoval-Denis
- Unitat de Microbiologia, Facultat de Medicina i Ciencies de la Salut, IISPV, Universitat Rovira i Virgili, 43201 Reus, Spain
| | - Gokhan Aygun
- Cerrahpasa Medical Faculty, Department of Medical Microbiology, Deep Mycosis Laboratory, Istanbul University, Istanbul 34098, Turkey
| | - Nuri Kiraz
- Cerrahpasa Medical Faculty, Department of Medical Microbiology, Deep Mycosis Laboratory, Istanbul University, Istanbul 34098, Turkey
| | - Canan Akman
- Cerrahpasa Medical Faculty, Department of Radiology, Istanbul University, Istanbul 34098, Turkey
| | - Hulya Apaydin
- Cerrahpasa Medical Faculty, Department of Neurology, Istanbul University, Istanbul 34098, Turkey
| | - Emin Karaman
- Cerrahpasa Medical Faculty, Department of Otorhinolaryngology, Istanbul University, Istanbul 34098, Turkey
| | - Josep Guarro
- Unitat de Microbiologia, Facultat de Medicina i Ciencies de la Salut, IISPV, Universitat Rovira i Virgili, 43201 Reus, Spain
| | | | - M S Gurel
- Department of Dermatology, Samatya Training and Research Hospital, Istanbul 34098, Turkey
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Abstract
Ofuji papuloerythrodema is a rare type of dermatosis marked by an erythrodermic manifestation which is intensely pruritic and results from the coalescing of brownish papules which in the main do not involve the great folds. The authors present the case history of a 72-year-old female, whose dermatosis appeared 8 years after the diagnosis of malignant lymphocytic lymphoma. The Authors describe the clinical and histopathological picture, illustrating the laboratory results and stressing the importance of the association of the two pathologies in a possible nosological overview.
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Affiliation(s)
- N Aste
- Clinica Dermatologica, University of Cagliari, Italy
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