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Disseminated infection caused by Emmonsia pasteuriana in a renal transplant recipient
Author(s) -
Feng Peiying,
Yin Songchao,
Zhu Guoxing,
Li Meirong,
Wu Benquan,
Xie Yang,
Ma Han,
Zhang Jun,
Cheng Cailian,
Hoog Gerrit Sijbrand,
Lu Chun,
Lai Wei
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 - 10.1111/1346-8138.12975
Subject(s) - dimorphic fungus , biopsy , histopathology , nodule (geology) , renal transplant , pathology , nose , medicine , micafungin , transplantation , antifungal , biology , fluconazole , dermatology , surgery , yeast , paleontology , genetics
Emmonsia pasteuriana is a thermally dimorphic fungus identified in very few human cases. Here, we report a case of a 43‐year‐old male renal transplant patient from China presenting with multiple painful skin eruptions on his head, nose and left thigh, later accompanied by respiratory failure. Histopathology of the biopsy collected from the left thigh upper ulcer and occipital nodule both demonstrated chronic inflammation with granuloma formation and yeast‐like elements. Emmonsia pasteuriana was cultured from two biopsy specimens and their identity was confirmed by sequencing of the r DNA internal transcribed spacer. The patient in intensive care showed marked clinical improvement with antifungal treatment.