Facial botryomycosis-like pyoderma in an HIV-infected patient: remission after initiation of darunavir and raltegravir

Abstract Botryomycosis is an uncommon, chronic, suppurative, bacterial infection that primarily affects the skin and subcutaneous tissues. It has long been associated with defects of cellular immunity. We report a 28-year-old woman who presented with a chronic, ulcerated lesion with draining sinuses in the right malar region. Predisposing factors were HIV infection with poor immunological control, alcoholism, and a previous trauma to the right cheek. Several courses of antimicrobial therapy provided only partial and temporary remission. Complete clinical remission was only achieved 5 years later when a novel antiretroviral regimen composed of darunavir and raltegravir was initiated.

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Bibliographic Details
Main Authors: Eyer-Silva,Walter de Araujo, Silva,Guilherme Almeida Rosa da, Ferry,Fernando Raphael de Almeida, Pinto,Jorge Francisco da Cunha
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Medicina Tropical - SBMT 2017
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822017000200277
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