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Cutaneous lesions due to Pleurophoma (Phoma) complex
T Rosen1, M J Rinaldi, J A Tschen
1Department of Dermatology, Baylor College of Medicine, Houston, TX, USA.
Southern Medical Journal
|April 1, 1996
Summary
A rare facial fungal infection caused by Pleurophoma was treated effectively. Antifungal susceptibility testing guided the choice of therapy for this disfiguring mycosis.
Area of Science:
- Mycology
- Dermatology
- Infectious Diseases
Background:
- Facial mycosis is uncommon, particularly infections caused by Coelomycetes.
- The Pleurophoma complex represents a group of fungi that can cause opportunistic infections.
Observation:
- A patient presented with a striking and disfiguring facial fungal infection.
- The infection was attributed to an organism within the Pleurophoma complex.
- Potential exposure routes included contact with infected soil and topical corticosteroid use.
Findings:
- Antifungal drug susceptibility testing was crucial for identifying effective treatment options.
- The case highlights an unusual presentation of fungal infection in the facial area.
Implications:
- This case underscores the importance of considering rare fungal pathogens in refractory skin infections.
- Accurate diagnosis and targeted antifungal therapy are essential for managing disfiguring mycoses.
- Understanding environmental exposure risks can aid in preventing such infections.