Subcutaneous phaeohyphomycosis caused by Alternaria section Alternaria
A woman presented with purulent infiltrating plaques on her hands and arms after a 7-year history of nephrotic syndrome. She was ultimately diagnosed with subcutaneous phaeohyphomycosis, which is caused by Alternaria section Alternaria. The lesions completely resolved after 2 months of antifungal tr...
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Format: | Article |
Language: | English |
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Elsevier
2023-09-01
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Series: | International Journal of Infectious Diseases |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S1201971223006185 |
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author | Xiujiao Xia Zehu Liu Hong Shen |
author_facet | Xiujiao Xia Zehu Liu Hong Shen |
author_sort | Xiujiao Xia |
collection | DOAJ |
description | A woman presented with purulent infiltrating plaques on her hands and arms after a 7-year history of nephrotic syndrome. She was ultimately diagnosed with subcutaneous phaeohyphomycosis, which is caused by Alternaria section Alternaria. The lesions completely resolved after 2 months of antifungal treatment. Interestingly, spores (round-shaped cells) and hyphae were observed in the biopsy and pus specimens, respectively. This case report highlights that distinguishing subcutaneous phaeohyphomycosis from chromoblastomycosis may be difficult if the diagnosis is solely based on pathological findings. It also emphasizes that the parasitic forms of the dematiaceous fungi in immunosuppressed hosts may vary with the site and environment. |
first_indexed | 2024-03-12T17:12:26Z |
format | Article |
id | doaj.art-81351516a38b4246b857d3d4e68d7aa2 |
institution | Directory Open Access Journal |
issn | 1201-9712 |
language | English |
last_indexed | 2024-03-12T17:12:26Z |
publishDate | 2023-09-01 |
publisher | Elsevier |
record_format | Article |
series | International Journal of Infectious Diseases |
spelling | doaj.art-81351516a38b4246b857d3d4e68d7aa22023-08-06T04:36:42ZengElsevierInternational Journal of Infectious Diseases1201-97122023-09-0113499101Subcutaneous phaeohyphomycosis caused by Alternaria section AlternariaXiujiao Xia0Zehu Liu1Hong Shen2Corresponding author:; Department of Dermatology, Hangzhou Third People’s Hospital, Affiliated Hangzhou Dermatology Hospital, Zhejiang University School of Medicine, West Lake Rd 38, Hangzhou 310009, ChinaDepartment of Dermatology, Hangzhou Third People’s Hospital, Affiliated Hangzhou Dermatology Hospital, Zhejiang University School of Medicine, West Lake Rd 38, Hangzhou 310009, ChinaDepartment of Dermatology, Hangzhou Third People’s Hospital, Affiliated Hangzhou Dermatology Hospital, Zhejiang University School of Medicine, West Lake Rd 38, Hangzhou 310009, ChinaA woman presented with purulent infiltrating plaques on her hands and arms after a 7-year history of nephrotic syndrome. She was ultimately diagnosed with subcutaneous phaeohyphomycosis, which is caused by Alternaria section Alternaria. The lesions completely resolved after 2 months of antifungal treatment. Interestingly, spores (round-shaped cells) and hyphae were observed in the biopsy and pus specimens, respectively. This case report highlights that distinguishing subcutaneous phaeohyphomycosis from chromoblastomycosis may be difficult if the diagnosis is solely based on pathological findings. It also emphasizes that the parasitic forms of the dematiaceous fungi in immunosuppressed hosts may vary with the site and environment.http://www.sciencedirect.com/science/article/pii/S1201971223006185PhaeohyphomycosisAlternaria section AlternariaNephrotic syndromeSporeHypha |
spellingShingle | Xiujiao Xia Zehu Liu Hong Shen Subcutaneous phaeohyphomycosis caused by Alternaria section Alternaria International Journal of Infectious Diseases Phaeohyphomycosis Alternaria section Alternaria Nephrotic syndrome Spore Hypha |
title | Subcutaneous phaeohyphomycosis caused by Alternaria section Alternaria |
title_full | Subcutaneous phaeohyphomycosis caused by Alternaria section Alternaria |
title_fullStr | Subcutaneous phaeohyphomycosis caused by Alternaria section Alternaria |
title_full_unstemmed | Subcutaneous phaeohyphomycosis caused by Alternaria section Alternaria |
title_short | Subcutaneous phaeohyphomycosis caused by Alternaria section Alternaria |
title_sort | subcutaneous phaeohyphomycosis caused by alternaria section alternaria |
topic | Phaeohyphomycosis Alternaria section Alternaria Nephrotic syndrome Spore Hypha |
url | http://www.sciencedirect.com/science/article/pii/S1201971223006185 |
work_keys_str_mv | AT xiujiaoxia subcutaneousphaeohyphomycosiscausedbyalternariasectionalternaria AT zehuliu subcutaneousphaeohyphomycosiscausedbyalternariasectionalternaria AT hongshen subcutaneousphaeohyphomycosiscausedbyalternariasectionalternaria |