Subcutaneous phaeohyphomycosis caused by Alternaria section Alternaria

被引:2
作者
Xia, Xiujiao [1 ]
Liu, Zehu [1 ]
Shen, Hong [1 ]
机构
[1] Zhejiang Univ, Hangzhou Peoples Hosp 3, Affiliated Hangzhou Dermatol Hosp, Dept Dermatol,Sch Med, West Lake Rd 38, Hangzhou 310009, Peoples R China
关键词
Phaeohyphomycosis; Alternaria section Alternaria; Nephrotic syndrome; Spore; Hypha; CUTANEOUS ALTERNARIOSIS; TRANSPLANT;
D O I
10.1016/j.ijid.2023.05.066
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
A woman presented with purulent infiltrating plaques on her hands and arms after a 7-year history of nephrotic syndrome. She was ultimately diagnosed with subcutaneous phaeohyphomycosis, which is caused by Alternaria section Alternaria. The lesions completely resolved after 2 months of antifungal treatment. Interestingly, spores (round-shaped cells) and hyphae were observed in the biopsy and pus specimens, respectively. This case report highlights that distinguishing subcutaneous phaeohyphomycosis from chromoblastomycosis may be difficult if the diagnosis is solely based on pathological findings. It also emphasizes that the parasitic forms of the dematiaceous fungi in immunosuppressed hosts may vary with the site and environment. & COPY; 2023 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY-NC-ND license ( http://creativecommons.org/licenses/by-nc-nd/4.0/ )
引用
收藏
页码:99 / 101
页数:3
相关论文
共 15 条
[1]   Phaeohyphomycosis due to Alternaria species in transplant recipients [J].
Boyce, R. D. ;
Deziel, P. J. ;
Otley, C. C. ;
Wilhelm, M. P. ;
Eid, A. J. ;
Wengenack, N. L. ;
Razonable, R. R. .
TRANSPLANT INFECTIOUS DISEASE, 2010, 12 (03) :242-250
[2]  
DIXON DM, 1991, MYCOSES, V34, P1, DOI 10.1111/j.1439-0507.1991.tb00613.x
[3]   Cutaneous alternariosis in transplant recipients:: Clinicopathologic review of 9 cases [J].
Gilaberte, M ;
Bartralot, R ;
Torres, JM ;
Reus, FS ;
Rodríguez, V ;
Alomar, A ;
Pujol, RM .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2005, 52 (04) :653-659
[4]   Subcutaneous phaeohyphomycosis (mycotic cyst) [J].
Isa-Isa, Rafael ;
Garcia, Carlos ;
Isa, Mariel ;
Arenas, Roberto .
CLINICS IN DERMATOLOGY, 2012, 30 (04) :425-431
[5]   Pathogenic roles for fungal melanins [J].
Jacobson, ES .
CLINICAL MICROBIOLOGY REVIEWS, 2000, 13 (04) :708-+
[6]   Disseminated Subcutaneous Phaeohyphomycosis caused by Exophiala oligosperma in a Patient with Wegener's Granulomatosis [J].
Kan, Takanobu ;
Takahagi, Shunsuke ;
Kamegashira, Akiko ;
Ooiwa, Hiroshi ;
Yaguchi, Takashi ;
Hide, Michihiro .
ACTA DERMATO-VENEREOLOGICA, 2013, 93 (03) :356-357
[7]   Respiratory fungal allergy [J].
Kurup, VP ;
Shen, HD ;
Banerjee, B .
MICROBES AND INFECTION, 2000, 2 (09) :1101-1110
[8]   Spores and mycelia in cutaneous chromomycosis [J].
Lee, MWC ;
Hsu, S ;
Rosen, T .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1998, 39 (05) :850-852
[9]   Chromoblastomycosis [J].
Queiroz-Telles, Flavio ;
de Hoog, Sybren ;
Santos, Daniel Wagner C. L. ;
Salgado, Claudio Guedes ;
Vicente, Vania Aparecida ;
Bonifaz, Alexandro ;
Roilides, Emmanuel ;
Xi, Liyan ;
Pedrozo e Silva Azevedo, Conceicao de Maria ;
da Silva, Moises Batista ;
Pana, Zoe Dorothea ;
Colombo, Arnaldo Lopes ;
Walsh, Thomas J. .
CLINICAL MICROBIOLOGY REVIEWS, 2017, 30 (01) :233-276
[10]   Persistent viability of the Medlar body [J].
Rosen, T ;
Overholt, M .
INTERNATIONAL JOURNAL OF DERMATOLOGY, 1996, 35 (02) :96-98