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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.
Abstract:
Phaeohyphomycosis is a term used to describe infections caused by dematiaceous fungi, i.e. fungi which contain melanin in their cell wall. Cladophialophora bantiana has been implicated to cause brain abscess in immunocompromised patients. Infection caused by Cladophialophora bantiana in an immunocompetent host is relatively rare. Surgical site infection at abdominal subcutaneous tissue caused by Cladophialophora bantiana was noted in this case, which was rarely reported.
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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