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[Cutaneous protothecosis: first case in Taiwan].

Y Z Kuan, Y C Lee

    Taiwan Yi Xue Hui Za Zhi. Journal of the Formosan Medical Association
    |July 1, 1989
    PubMed
    Summary
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    A rare fungal infection, likely sporotrichosis, was identified in a young girl presenting with eyelid inflammation. Diagnosis involved skin biopsy and fungal culture, revealing characteristic fungal elements and growth patterns.

    Area of Science:

    • Medical Mycology
    • Dermatology
    • Infectious Diseases

    Background:

    • A 5-year-old girl presented with a scaly, erythematous eyelid plaque unresponsive to topical steroids.
    • Diagnosis of a fungal infection was suspected due to persistent symptoms.

    Observation:

    • Skin biopsy revealed dermal inflammation with foamy, vacuolated spores.
    • Fungal cultures on Sabouraud's agar showed yeast-like colonies.
    • Microscopic examination identified round or oval spores and sporangia containing endospores.

    Findings:

    • Special stains (P.A.S., Gomori's methenamine) confirmed fungal presence.
    • The microorganism exhibited specific growth characteristics on various media, including a red color on Pagano-Levin medium.
    • Biochemical tests indicated positive assimilation for glucose, galactose, and glycerol, but negative for maltose and sucrose.

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  • Electron microscopy showed characteristic fungal structures within spores.

    • Implications:

    • This case highlights a rare presentation of fungal infection in pediatric dermatology.
    • Accurate identification through histopathology and mycology is crucial for effective treatment.
    • Understanding the microorganism's growth and biochemical profile aids in diagnosis and classification.