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DISSEMINATED SPOROTRICHOSIS WITH IMMUNE RECONSTITUTION INFLAMMATORY SYNDROME IN AN HIV PATIENT: CASE REPORT AND REVIEW OF THE LITERATURE
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Abstract
Background: Sporotrichosis has been occurring as outbreaks in Brazil, reaching epidemic levels in some regions. Zoonotic transmission is the main route to acquire Sporothrix.
Case report: We describe a case of disseminated sporotrichosis caused by Sporothrix brasiliensis in an HIV/AIDS patient, with the presentation of immune reconstitution inflammatory syndrome (IRIS).
Conclusions: This case reinforces that sporotrichosis should always be suspected in patients with IRIS from endemic regions, even in patients without the typical cutaneous lesions of this mycosis.
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Antecedentes: La esporotricosis suele aparecer en Brasil en forma de brotes y alcanza tasas epidémicas
en algunas regiones. La ruta principal de transmisión es la zoonótica.
Caso clínico: Describimos un caso de esporotricosis diseminada causado por Sporothrix brasiliensis en una
paciente con VIH/sida que presentó un síndrome inflamatorio de reconstitución inmune (SIRI).
Conclusiones: Este caso demuestra que en regiones endémicas de esporotricosis esta micosis siempre debe
ser sospechada en casos de SIRI, incluso en pacientes sin las lesiones cutáneas típicas de esta enfermedad.
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