1. Facial botryomycosis-like pyoderma in an HIV-infected patient: remission after initiation of darunavir and raltegravir.
- Author
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Eyer-Silva WA, Silva GARD, Ferry FRA, and Pinto JFDC
- Subjects
- AIDS-Related Opportunistic Infections diagnosis, Adult, Anti-HIV Agents therapeutic use, Darunavir therapeutic use, Dermatomycoses diagnosis, Facial Dermatoses diagnosis, Female, Humans, Pyoderma diagnosis, Raltegravir Potassium therapeutic use, AIDS-Related Opportunistic Infections drug therapy, Botrytis isolation & purification, Dermatomycoses drug therapy, Facial Dermatoses drug therapy, Pyoderma drug therapy
- Abstract
Botryomycosis is an uncommon, chronic, suppurative, bacterial infection that primarily affects the skin and subcutaneous tissues. It has long been associated with defects of cellular immunity. We report a 28-year-old woman who presented with a chronic, ulcerated lesion with draining sinuses in the right malar region. Predisposing factors were HIV infection with poor immunological control, alcoholism, and a previous trauma to the right cheek. Several courses of antimicrobial therapy provided only partial and temporary remission. Complete clinical remission was only achieved 5 years later when a novel antiretroviral regimen composed of darunavir and raltegravir was initiated.
- Published
- 2017
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