GeotrichosisB48.3

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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DefinitionThis section has been translated automatically.

Opportunistic infection with Geotrichum candidum, in which pulmonary involvement is usually in the foreground.

PathogenThis section has been translated automatically.

Geotrichum candidum (milk mould): Optionally pathogenic, widespread yeast which lives saprophytically in the intestinal tract and on the skin.

EtiopathogenesisThis section has been translated automatically.

Consuming diseases, immune deficiencies.

Clinical featuresThis section has been translated automatically.

  • Very variable manifestations: Most frequent is the bronchopulmonary infestation: cavern formations, diffuse peribronchitic or tumorous infiltrates, abscesses.
  • Skin phenomena: Image of interdigital mycosis, rarely inflammatory granulomas of the extremities, face and capillitium. Very seldom mouth mucosa infection (stomatitis).

DiagnosisThis section has been translated automatically.

Microscopic and cultural fungus detection from bronchial secretion and mucosa or from smears of the skin. However, since the fungus is ubiquitously present as saprophyte, the diagnosis can only be confirmed by histological detection of the pathogen.

Complication(s)This section has been translated automatically.

Sepsis.

External therapyThis section has been translated automatically.

Imidazole antimycotics such as ketoconazole (e.g. Nizoral cream) or 2% clotrimazole creams / ointments(e.g. Canesten, R056 ) should be applied locally.

Internal therapyThis section has been translated automatically.

In case of organ infestation systemic therapy according to Candida sepsis, see there.

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Last updated on: 29.10.2020