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Revista Cubana de Medicina Tropical
Print version ISSN 0375-0760
Abstract
TROMBETTA DURANTE, Luis Ángel and BAVA DE SOTO, Amadeo Javier. AIDS-related disseminated histoplasmosis diagnosis. Rev Cubana Med Trop [online]. 2013, vol.65, n.1, pp. 137-143. ISSN 0375-0760.
In a patient with AIDS-related histoplasmosis, and skin lesions, the diagnosis of mycosis through usual methodology was made, which was described in this paper. The use of skin lesion scarification in these patients offers an economic, fast and simple method for diagnosis of endemic mycosis. The severe immunodeficiency of these patients raises the microbial charge present in tissues and clinical materials, which facilitates the application of direct mycological diagnosis methods such as microscopic analysis and culturing. The observation of intracellular yeast in microscopical preparations, which are irregularly stained through the Giemsa technique, leads to rapid mycological diagnosis, later confirmed by the culturing, and allows the immediate administration of antifungal treatment. All this improves the possibilities of a sucessful treatment.
Keywords : histoplasmosis; AIDS; cutaneous histoplasmosis; mycological diagnosis.