The eruption may be elicited by chemotherapy, even several months after radiotherapy. It occurs in a previously irradiated field, when subsequent chemotherapy is given.
Histoplasmosis sketchy micro skin#
Radiation recall dermatitis is one of the skin sequelae that may affect oncology patients. Radiation recall dermatitis, panniculitis, and myositis following cyclophosphamide therapy: histopathologic findings of a patient affected by multiple myeloma.īorroni, Giovanni Vassallo, Camilla Brazzelli, Valeria Martinoli, Sara Ardigò, Marco Alessandrino, Paolo Emilio Borroni, Riccardo Giovanni Franchini, Pietro Given the wide use of gemcitabine following chemoradiation for pancreatic cancer, providers should be aware of this potential complication. This is the second case report that describes gemcitabine-induced radiation recall in rectus abdominus muscles after gemcitabine-based radiation therapy. Radiation recall resolved spontaneously with withdrawal of gemcitabine. We hereby report a case of radiation recall dermatitis and myositis occurring on gemcitabine monotherapy, five months after completing chemoradiation for locally advanced pancreatic cancer. However, this phenomenon has been largely limited to skin. Radiation recall has been described in the context of gemcitabine chemotherapy. Investigation of an outbreak of endemic coccidioidomycosis in Brazil’s northeastern state of Piaui with a review of the occurrence and distribution of Coccidioides immitis in three other Brazilian states. Wanke B, Lazera MS, Monteiro PCF, Lima FC, Leal MJS, Ferreira Filho PL, et al. Le nord-est Brésilien, région d’endémie de coccidioidomycose? J Mycol Méd. Sidrim JJC, Silva LCI, Nunes JMA, Rocha MFG, Paixão GC. Coccidioidomycosis-a fungal disease of the Americas. Gomes OM, Serrano RRP, Pradel HOV, Moraes NLTB, Varella ALB, Fiorelli AI. nov., previously recognized as the non-California population of Coccidioides immitis. Molecular and phenotypic description of Coccidiodes posadasii sp.
doi: 10.1046/j.įisher MG, Koenig GI, White TJ, Taylor JW. Coccidioides immitis as a select agent of bioterrorism. Inquérito epidemiológico com esferulina em Jaguaribara-CE, Brasil, 1993. Coccidioidomycosis: host response and vaccine development. Twelve years of coccidioidomycosis in Ceará State, Northeast Brazil: epidemiologic and diagnostic aspects. Phenotypic characterization and ecological features of Coccidioides spp. 2005 113:688–92.Ĭordeiro RA, Brilhante RS, Rocha MF, Fechine MA, Câmara LM, Camargo ZP, et al. Climate factors influencing coccidioidomycosis seasonality and outbreaks. The epidemiology of coccidioidomycosis in México. The data from this study suggest the importance of performing epidemiological surveys for coccidioidomycosis in order to understand the prevalence of this disease in Brazil.īaptista Rosas RC, Riquelme M. Besides armadillo hunts, exposure to environmental dust in endemic areas may account for the serologic response detected in the study.
Three women who had never participated in armadillo hunts also displayed positive results for coccidioidal antibodies. Regarding the epidemiological data, most of the positive individuals were male, between 18 and 65 years of age and were engaged in armadillo hunting. The commercial ID test detected 15 individuals without clinical diagnosis of the disease and two individuals in treatment for coccidioidomycosis. This article presents the results of a serologic survey carried out with 229 volunteers in northeast Brazil by the immunodiffusion (ID) test with commercial Coccidioides spp. The disease is endemic in Brazil but its incidence is underreported as it is not a notifiable disease. Coccidioidomycosis is a systemic infection caused by Coccidioides spp.
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