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A 61‐year‐old man with erythematous forearm papules three months after liver transplantation
Author(s) -
Ayrapetyan Mesrop,
Googe Paul B.,
Jolly Puneet,
Levinson Kara,
Popowitch Elena,
Lachiewicz Anne M.
Publication year - 2018
Publication title -
transplant infectious disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 67
eISSN - 1399-3062
pISSN - 1398-2273
DOI - 10.1111/tid.12869
Subject(s) - medicine , liver transplantation , forearm , granuloma , skin biopsy , papule , transplantation , biopsy , pathology , dermatology , surgery , lesion
A 61‐year‐old Caucasian man presented with papules on his left forearm and hand three months after liver transplantation: images from physical exam, pathology, and microbiology are presented. Skin biopsy confirmed the presence of fungal elements within the hair shaft, which is consistent with Majocchi granuloma, also known as nodular granulomatous perifolliculitis. A combination of fungal culture, microscopic morphology, and gene sequencing was used to identify the causative organism. The patient recovered with appropriate systemic antifungal therapy.