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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Main Authors: Xiujiao Xia, Zehu Liu, Hong Shen
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:International Journal of Infectious Diseases
Subjects:
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.
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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