Blastomycosis

blastomycosisBlastomycosis is a disease caused by yeast-like fungi, which afflicts the skin, muscles, bones and internal organs. Belongs to the group of deep mycosis (see). Allocate blastomycosis type of L blastomycosis type Busse - Buska. Both forms of blastomycosis is not contagious. Possible ways of infection - respiratory, digestive tract and skin.
A contributing factor is the injury of skinwounds, abrasions).
Blastomycosis type of Gilchrist (North American) is caused by the fungus Blastomyces dermatitidis; characterized by the appearance of the skin of the face, extremities, back nagnaivajutsja reddish nodules that gradually merge into plaques sharply infiltrated, towering above the skin, covered papillomatosis enlargement and wet crusts (Fig).
Blastomycosis type Busse - Buske (cryptococcosis) is a rare disease caused by the fungus Cryptococcus peo-formans. This mycosis in the subcutaneous tissue are formed units, opened with the formation of ulcers in the form of a crater with irregular edges and purulent discharge. The disease may be accompanied by the defeat of joints, bones and internal organs.
When all of these forms can develop lesions of the mucous membranes of the oral cavity - infiltrates, stomatitis, ulceration. Diagnosis of blastomycosis is difficult, based on the presence of the pathogen in the discharge when sowing on a nutrient medium, and histological examination of the material biopsy of lesions. The disease for a long, long, often difficult, is possible a lethal outcome.
Treatment: a 20% solution of potassium iodide 1 table. L. 3 times a day for several weeks, nystatin 3 000-4 000 000 000 IU a day, amphotericin B in Vienna or in the home defeat (by prescription), diethylstilbestrol; multivitamins; naruzhno 1-2% alcohol solution of aniline dyes; compresses with Lugol solution; radiotherapy; surgical excision.
Prevention: combat trauma to the skin.