[Studies on possibilities of a rational therapy of dermatomycosis].
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A case is described of a 3-year-old boy with acute lymphoblastic leukaemia (ALL) who presented initially with aspergillosis of the nasopharynx. Fungal infection with Aspergillus species is not uncommon in immunosuppressed children, but this case is noteworth in that the disease presented at the onset of therapy rather than during the phase of treatment, with maximum immunosuppression following chemotherapy. This type of infection is usually associated with the treatment of acute non-lymphoblastic leukaemias (AML) rather than ALL, and prolonged periods of neutropenia which results from aggressive treatment. This patient responded rapidly to treatment with amphotericin B, coincident with resolution of his neutropenia as the underlying disease was treated, eventually eradicating the fungus.
An acrylic on canvas painting from the collection of the Institute of Puerto Rico Culture was found to be stained with light brown spots. Under ultraviolet light it was evident that these spots covered the entire painting. Scotch tape samples from different areas of the painting were taken. In almost all of these samples, septated hyphae were observed to surround the canvas fibers and in most of them, spiny or rough-surfaced conidia were also observed. A sample from the canvas which was incubated over a Sabourand agar plate yielded a fungus very similar to the one observed in the tape samples after subculturing in potato dextrose agar. Slide cultures and culture characteristics provided evidence that this fungus was a species of Scopulariopsis. This fungus has been implicated in human disease and in this case, it was the cause of the deterioration of the painting.
Activities of amine oxidase from blood plasma and of monoamine oxidase from thrombocytes were studied in persons sensitized to yeast fungus and in patients with allergic diseases. Activity of the blood plasma amine oxidase tended to increase in sensitization and to decrease in patients with allergic dermatoses. In this group of patients activity of the thrombocyte monoamine oxidase was higher as compared with that of healthy persons.