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Published on: December 19, 2014
[Subcutaneous phaeohyphomycosis caused by Phaeoacremonium parasiticum]
Jose Alayeto Ortega1, Albert Alier Fabregó2, Lluis Puig Verdie2
1Servicio de Microbiología, Hospital Sant Joan de Déu, Barcelona, España.
Background:
From the available literature, it is demonstrated that dematiaceous fungal infections mostly affect immunosuppressed patients. These infections can occur in different forms, from subcutaneous infection to disseminated forms that may compromise the life of the patient. In many cases the infection is related to the inoculation of the microorganism by diverse traumatic mechanisms, which determines the course of the infection to be slower in some cases.
Case Report:
We describe two cases of phaeohyphomycosis caused by Phaeoacremonium parasiticum: A cancer patient with subcutaneous lesions affecting the left hand and forearm, and a patient who presented with subcutaneous abscesses in the left leg.
Conclusions:
These cases confirm the presence of this type of fungus in Spain. In the second case a combination of amphotericin B lipid complex and posaconazole, together with several surgical resections, were necessary in order to overcome the infection.
Insights
Dematiaceous fungal infections, like phaeohyphomycosis, can affect immunocompromised individuals. This report details two Spanish cases of Phaeoacremonium parasiticum infections, one requiring combination therapy.
Area of Science:
- Mycology
- Infectious Diseases
- Dermatology
Background:
- Dematiaceous fungi cause infections, primarily in immunocompromised patients.
- These infections range from localized subcutaneous to life-threatening disseminated forms.
- Traumatic inoculation is a common route, often leading to slower infection progression.
Observation:
- Two cases of phaeohyphomycosis caused by Phaeoacremonium parasiticum are presented.
- Case 1: A cancer patient with subcutaneous lesions on the left hand and forearm.
- Case 2: A patient with subcutaneous abscesses on the left leg.
Findings:
- Phaeoacremonium parasiticum infections were confirmed in Spain.
- Successful treatment in the second case involved amphotericin B lipid complex, posaconazole, and surgical resections.
- Phaeohyphomycosis can manifest as localized subcutaneous disease.
Implications:
- Highlights the presence and clinical significance of Phaeoacremonium parasiticum in Spain.
- Demonstrates the potential need for aggressive combination therapy, including antifungals and surgery, for phaeohyphomycosis.
- Emphasizes the importance of considering dematiaceous fungal infections in immunocompromised patients with subcutaneous lesions.
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