Subcutaneous phaeohyphomycosis caused by Exophiala equina, with susceptibility to eight antifungal drugs

被引:20
作者
Najafzadeh, Mohammad Javad [1 ,2 ]
Suh, Moo Kyu [3 ]
Lee, Myung Hoon [3 ]
Ha, Gyoung Yim [4 ]
Kim, Jung Ran [5 ]
Kim, Tae Heung [6 ]
Lee, Hyo Jin [7 ]
Choi, Jong Soo [7 ]
Meis, Jacques F. [8 ]
De Hoog, G. Sybren [9 ,10 ,11 ]
机构
[1] Mashhad Univ Med Sci, Dept Parasitol & Mycol, Ghaem Hosp, Sch Med, Mashhad, Iran
[2] Mashhad Univ Med Sci, Canc Mol Pathol Res Ctr, Ghaem Hosp, Sch Med, Mashhad, Iran
[3] Dongguk Univ, Dept Dermatol, Gyeongju, South Korea
[4] Dongguk Univ, Gyeongju, South Korea
[5] Dongguk Univ, Coll Med, Gyeongju, South Korea
[6] White Skin Clin, Chang Won, South Korea
[7] Yeungnam Univ, Dept Dermatol, Coll Med, Taegu, South Korea
[8] Canisius Wilhelmina Hosp, Dept Med Microbiol & Infect Dis, Nijmegen, Netherlands
[9] CBS KNAW Fungal Biodivers Ctr, Utrecht, Netherlands
[10] Univ Amsterdam, Inst Biodivers & Ecosyst Dynam, NL-1012 WX Amsterdam, Netherlands
[11] Peking Univ, Hlth Sci Ctr, Res Ctr Med Mycol, Beijing 100871, Peoples R China
关键词
SPINIFERA CLADE; FUNGI; DIVERSITY; FONSECAEA; SPECTRUM; DISEASE;
D O I
10.1099/jmm.0.057406-0
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
A case of subcutaneous phaeohyphomycosis caused by Exophiala equine is reported in a 75-year-old female, who showed subcutaneous abscesses on both forearms for 8 months. A lesion was initiated by inoculation with a spine from a tree. Histopathologically, suppurative granulomatous inflammation was present and short hyphal elements were observed. Upon culture greyish-black, velvety colonies of a black yeast were obtained after 3 weeks. The strain grew well at 25 degrees C, but poorly at 37 degrees C. After sequencing the internal transcribed spacer domain and the partial beta-tubulin gene, the fungus was identified as E. equine. The patient was successfully treated with fluconazole for 3 months.
引用
收藏
页码:797 / 800
页数:4
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