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Publication Type
Journal Article
Author, Analytic
Fletcher, Horace M.; Williams, Nadia P.; Nicholson, Alison M.; Rainford, Lois; Phillip, H.; East-Innis, Althea D
Author Affiliation, Ana.
Department of Obstetrics, Gynaecology and Child Health
Article Title
Systemic phaeohyphomycosis in pregnancy and the puerperium
Medium Designator
n/a
Connective Phrase
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Journal Title
West Indian Medical Journal
Translated Title
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Reprint Status
n/a
Date of Publication
2000
Volume ID
49
Issue ID
1
Page(s)
79-82
Language
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Connective Phrase
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Location/URL
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ISSN
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Notes
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Abstract
Systemic fungal infections are rare. In pregnancy, treatment is problematic because of the risk of possible teratogenic effects of the antifungal drugs. We present the case of a 32 year-old woman who presented during pregnancy with a two-month history of painless subcutaneous nodules. Excision biopsy of one lesion showed dematiaceous fungal elements. Anti-fungal treatment was deferred and the pregnancy proceeded uneventfully. The remaining nodules were excised at the time of caesarean section delivery. Three weeks into the puerperium, she developed generalised seizures and investigations indicated systemic fungal infection with positive cultures for Aureobasidium spp which responded to appropriate antifungal therapy of flucytosine and itraconazole.....
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