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[Subcutaneous infection spread by Scytalidium (Neoscytalidium) dimidiatum]
R Moutran1, I Maatouk, J Wehbé
1Service de dermatologie, Hôtel-Dieu de France, BP 16-6830, Achrafieh, Beyrouth, Liban. roymoutran@yahoo.com
Annales De Dermatologie Et De Venereologie
|March 10, 2012
Summary
Nocardiopsis dimidiatum (formerly Sporothrix dimidiatum) can cause deep infections in immunocompromised individuals. A case of subcutaneous infection was successfully treated with amphotericin B.
Area of Science:
- Mycology
- Dermatology
- Infectious Diseases
Background:
- Nocardiopsis dimidiatum (formerly Sporothrix dimidiatum) is a fungus known to cause superficial skin and nail infections.
- Deep infections, including subcutaneous and systemic, are rare but can occur, particularly in immunocompromised patients.
Observation:
- A case report details an 87-year-old male on oral corticosteroids for sarcoidosis presenting with violaceous cutaneous nodules.
- Histopathology revealed epithelioid granulomas with fungal elements, and culture confirmed N. dimidiatum.
Findings:
- The patient was diagnosed with a subcutaneous infection caused by N. dimidiatum.
- Intravenous amphotericin B was administered as treatment.
Implications:
- This case highlights the potential for N. dimidiatum to cause deeper infections in immunocompromised hosts.
- Successful treatment with amphotericin B underscores its efficacy in managing such infections.
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