What is it about?
This is a case of a 40-year old Filipino male who presented with advanced-stage mycosis fungoides complicated by mixed deep fungal infection characterized by multiple erythematous plaques with ulceration on face, neck, trunk, and upper extremities. The fungal infection initially resolved with itraconazole but recurrence was noted on the right and left lateral neck.
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Why is it important?
Treatment of aspergillosis and scopulariopsis remains difficult, especially for immunocompromised patients who need to start chemotherapy due to multiple drug interactions since most antifungal agents are nephrotoxic. Given the high resistance to antifungal agents and its potential to disseminate in immunocompromised hosts, treatment of a secondary opportunistic fungal infection serves as a roadblock to therapy.
Perspectives
I am truly grateful to have had the opportunity to take care of this patient. This article lead me to greater involvement in oncology research.
Sharina Macapagal
Read the Original
This page is a summary of: Ulcerative nodules in a 40‐year‐old farmer with mycosis fungoides: a case report, International Journal of Dermatology, May 2022, Wiley,
DOI: 10.1111/ijd.16204.
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