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Rogerio Nabor Kondo1, Rubens Pontello2, Ricardo Pontello3

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Subcutaneous phaeohyphomycosis, a fungal infection, can affect immunosuppressed individuals. This case highlights its occurrence in a kidney transplant patient on immunosuppressive therapy.

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Area of Science:

  • Medical Mycology
  • Transplant Infectious Diseases

Background:

  • Subcutaneous phaeohyphomycosis is a fungal infection caused by dematiaceous fungi.
  • It primarily affects individuals with compromised immune systems.

Observation:

  • A kidney transplant recipient developed subcutaneous phaeohyphomycosis on their left hand.
  • The patient had been on a daily regimen of prednisone, tacrolimus, and azathioprine for three years.

Findings:

  • This case demonstrates a rare presentation of subcutaneous phaeohyphomycosis in an immunosuppressed transplant patient.
  • The infection occurred despite a 3-year history of consistent immunosuppressive medication.

Implications:

  • Highlights the risk of opportunistic fungal infections in solid organ transplant recipients.
  • Emphasizes the need for vigilance in diagnosing and managing fungal infections in immunosuppressed populations.