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Case of cutaneous phaeohyphomycosis caused by P haeoacremonium sp. in a renal transplant recipient
Author(s) -
Sakata Yuichi,
Kitayama Asuka,
Yoshimura Rieko,
Anzawa Kazushi,
Fujii Toshiki,
Fujimoto Keiji,
Yokoyama Hitoshi,
Mochizuki Takashi
Publication year - 2015
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/1346-8138.12719
Subject(s) - phaeohyphomycosis , biology , asymptomatic , pneumonia , lesion , abscess , medicine , itraconazole , internal transcribed spacer , mycosis , pathology , antifungal , dermatology , ribosomal rna , surgery , gene , biochemistry
We describe a case of cutaneous phaeohyphomycosis in a 61‐year‐old man receiving re‐dialysis treatment for renal failure of a transplanted kidney. He was immunocompromised with steroid and cyclosporin A at onset of an asymptomatic abscess on his right forearm. The abscess arose at the site of a skin injury approximately 1 year prior. Grayish molds isolated from the lesion were morphologically compatible with Phaeoacremonium sp. but nucleotide sequence data of internal transcribed spacer regions of ribosomal RNA gene, actin and β‐tubulin genes were unlike those of any described species. He was successfully treated with a total of 3 weeks of liposomal amphotericin B, but died of pneumonia approximately 3 months after cure of phaeohyphomycosis.