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Phaeohyphomycosis caused by Phaeoacremonium inflatipes

A A Padhye1, M S Davis, D Baer

  • 1Mycotic Diseases Branch, Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. AAP1@cdc.gov

Journal of Clinical Microbiology
|August 15, 1998
PubMed
Summary

Phaeoacremonium inflatipes caused a rare subcutaneous foot infection in an elderly woman. Surgical removal of the granulomatous growth resulted in complete healing, highlighting successful treatment of this fungal infection.

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Area of Science:

  • Mycology
  • Medical Mycology
  • Infectious Diseases

Background:

  • Fungal infections can present with diverse clinical manifestations.
  • Accurate identification of fungal pathogens is crucial for effective treatment.
  • Phaeoacremonium species are increasingly recognized as agents of human mycoses.

Observation:

  • An 83-year-old woman presented with a subcutaneous granulomatous growth on her left foot.
  • Histopathological examination revealed septate, pigmented hyphal elements consistent with fungal elements.
  • Microscopic morphology of cultured isolates identified Phaeoacremonium inflatipes.

Findings:

  • Phaeoacremonium inflatipes was identified as the causative agent of the subcutaneous foot infection.
  • The fungal hyphae were septate, branched, and phaeoid, with characteristic conidiophores and phialides.

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  • Conidia were oblong, ellipsoid to allantoid, and subhyaline.

    • Implications:

    • Surgical excision is an effective treatment for localized Phaeoacremonium subcutaneous infections.
    • This case expands the known clinical spectrum of Phaeoacremonium inflatipes infections.
    • Early diagnosis and prompt intervention are key to successful management of mycoses.