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Disseminated cutaneous phaeohyphomycosis in immunocompetent child

Vishal G Mudholkar1, Abhijit S Acharya, Ravindra V Ramteke

  • 1Department of Pathology, RCSM Government Medical College, Kolhapur, Maharashtra, India. drvishal_mudholkar@rediffmail.com

Pediatric Dermatology
|January 26, 2011
PubMed

Insights

Disseminated cutaneous phaeohyphomycosis is rare in immunocompetent children. A 6-year-old boy was successfully treated with oral itraconazole and surgical excision of lesions.

Area of Science:

  • Mycology
  • Pediatric Dermatology
  • Infectious Diseases

Background:

  • Disseminated phaeohyphomycosis is a rare fungal infection.
  • It primarily affects immunocompromised individuals.
  • Occurrence in immunocompetent children is exceptionally infrequent.

Observation:

  • A 6-year-old immunocompetent male child presented with disseminated cutaneous phaeohyphomycosis.
  • Lesions were widespread, affecting the face, arms, thighs, and chest.
  • The child had no known underlying immunodeficiency.

Findings:

  • Successful treatment involved a 5-month course of oral itraconazole (100 mg daily).
  • Surgical excision was performed for residual lesions.
  • The treatment regimen led to the resolution of the infection.

Implications:

  • This case highlights a rare presentation of phaeohyphomycosis in a child.
  • It underscores the potential efficacy of combined antifungal therapy and surgery.
  • Early diagnosis and treatment are crucial for managing disseminated fungal infections in pediatric populations.

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