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M9650398.TXT
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1996-03-09
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Document 0398
DOCN M9650398
TI Mycetoma due to Exophiala jeanselmei and Mycobacterium chelonae in a
73-year-old man with idiopathic CD4+ T lymphocytopenia.
DT 9605
AU Neumeister B; Zollner TM; Krieger D; Sterry W; Marre R; Abteilung
Medizinische Mikrobiologie und Hygiene, Instituts fur; Medizinische
Mikrobiologie und Immunologie, Ulm, Germany.
SO Mycoses. 1995 Jul-Aug;38(7-8):271-6. Unique Identifier : AIDSLINE
MED/96129847
AB Exophiala jeanselmei and Mycobacterium chelonae were isolated from
cutaneous nodules in a 73-year-old man with mycetoma of the right lower
leg. Further evaluation revealed CD4+ lymphocytopenia without evidence
of HIV infection. Antibodies to HIV 1/2, p24 antigen and HIV 1/2 (PCR)
and reverse transcriptase activity were not detectable. The patient was
not a member of any HIV risk group. He had not previously undergone
therapy or suffered from immunodeficiency. This case clearly
demonstrates that infections with opportunistic moulds and/or atypical
mycobacteria should be taken into consideration not only in patients
with classical immundeficiency diseases but also in apparently healthy
patients because infection with these agents can be the first sign of
underlying immunodeficiency.
DE Aged Case Report Dermatomycoses/COMPLICATIONS/*MICROBIOLOGY
Exophiala/*ISOLATION & PURIF Human Leg
Dermatoses/COMPLICATIONS/*MICROBIOLOGY
Maduromycosis/COMPLICATIONS/*MICROBIOLOGY Male Mycobacterium
chelonae/*ISOLATION & PURIF T-Lymphocytopenia, Idiopathic
CD4-Positive/*COMPLICATIONS JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).