Subcutaneous Phaeohyphomycosis caused by Cladophialophora bantiana after Abdominal Hernia Surgery

Vipul M Patel1, Bhavin Kapadiya2, Viral Shah3

  • 1Infectious Diseases Consultant, Director, Infectious Diseases Care Clinic, Ahmedabad, Gujarat.

Insights

Phaeohyphomycosis, fungal infections with melanin-containing cell walls, are rarely caused by Cladophialophora bantiana in immunocompetent individuals. This case highlights a rare abdominal surgical site infection by this fungus in a healthy patient.

Area of Science:

  • Medical Mycology
  • Infectious Diseases

Background:

  • Phaeohyphomycosis refers to infections caused by dematiaceous fungi, characterized by melanin in their cell walls.
  • Cladophialophora bantiana is a dematiaceous fungus known to cause brain abscesses, primarily in immunocompromised patients.

Observation:

  • This report details a rare case of Cladophialophora bantiana infection.
  • The infection presented as a surgical site infection in the abdominal subcutaneous tissue.

Findings:

  • The patient was immunocompetent, making the infection by Cladophialophora bantiana unusual.
  • This represents a rare instance of Cladophialophora bantiana causing a subcutaneous infection in a healthy host.

Implications:

  • This case expands the known clinical spectrum of Cladophialophora bantiana infections.
  • Highlights the importance of considering dematiaceous fungi in surgical site infections, even in immunocompetent hosts.

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