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PHAEOHYPHOMYCOSIS DUE TO PHIALOPHORA RICHARDSIAE
Author(s) -
Tam Margaret,
Freeman Susanne
Publication year - 1989
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1111/j.1440-0960.1989.tb00406.x
Subject(s) - phaeohyphomycosis , medicine , gram positive bacterial infections , microbiology and biotechnology , dermatology , biology , antibiotics
S ummary Phaeohyphomycosis, an infection characterised by dematiaceous yeast‐like cells, hyphae and pseudohyphae in tissue, is an uncommon condition, often affecting immunosuppressed patients. A sixty four year old boat‐builder, receiving treatment with prednisone and azathioprine developed multiple cutaneous nodules on the extremities. Histology showed a mixed dermal inflammatory infiltrate with scattered spores and hyphae. Culture revealed two organisms, Phialophora richardsiae and Exophiala jeanselmei. Fluorocytosine was initially given but the organism was found to be resistant. Since side effects have been associated with long term ketoconazole therapy, a less toxic and more potent triazole compound, itraconazole, was used. After three months, the lesions had completely resolved without adverse clinical or biochemical changes.