Chronic Kirschsteiniothelia infection superimposed on a pre-existing non-infectious bursitis of the ankle: the first case report of human infection

Abstract Background Kirschsteiniothelia is a saprophytic fungus that is abundantly present in the environment. To date, there have been no reports of human infection caused by this fungus. We report a case of Kirschsteiniothelia infection superimposed on a pre-existing non-infectious bursitis of the...

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Main Authors: Masanori Nishi, Ichiro Okano, Takatoshi Sawada, Yasuka Hara, Kiwamu Nakamura, Katsunori Inagaki, Takashi Yaguchi
Format: Article
Language:English
Published: BMC 2018-05-01
Series:BMC Infectious Diseases
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12879-018-3152-3
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author Masanori Nishi
Ichiro Okano
Takatoshi Sawada
Yasuka Hara
Kiwamu Nakamura
Katsunori Inagaki
Takashi Yaguchi
author_facet Masanori Nishi
Ichiro Okano
Takatoshi Sawada
Yasuka Hara
Kiwamu Nakamura
Katsunori Inagaki
Takashi Yaguchi
author_sort Masanori Nishi
collection DOAJ
description Abstract Background Kirschsteiniothelia is a saprophytic fungus that is abundantly present in the environment. To date, there have been no reports of human infection caused by this fungus. We report a case of Kirschsteiniothelia infection superimposed on a pre-existing non-infectious bursitis of the ankle. Case presentation An 81-year-old immunocompetent female local farmer noticed the presence of a nodule on her right ankle 5 years before her first visit to our hospital. A cystic mass of approximately 45 mm × 30 mm was present at the tip of the right lateral malleolus. Culture of the aspirated fluid revealed visibly black colonies and characteristic blackish hyphae; nucleotide sequence of the internal transcribed spacer region was determined and compared in a GenBank database. The results indicated Kirschsteiniothelia infection. Conclusions We described the first case of Kirschsteiniothelia infection manifested as ankle bursitis. The disease seemed to be localized and systemic antibiotics had not been used in this case. However, continued observation is needed because of the possibility of disease progression with the pathogen.
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spelling doaj.art-8b10cad9645f4ba4bd8c2fd0c4156d652022-12-22T00:45:06ZengBMCBMC Infectious Diseases1471-23342018-05-011811510.1186/s12879-018-3152-3Chronic Kirschsteiniothelia infection superimposed on a pre-existing non-infectious bursitis of the ankle: the first case report of human infectionMasanori Nishi0Ichiro Okano1Takatoshi Sawada2Yasuka Hara3Kiwamu Nakamura4Katsunori Inagaki5Takashi Yaguchi6Department of OrthopaedicSurgery, Ohta-Nishinouchi HospitalDepartment of OrthopaedicSurgery, Ohta-Nishinouchi HospitalDepartment of OrthopaedicSurgery, Ohta-Nishinouchi HospitalDepartment of Respiratory Medicine, Ohta-Nishinouchi HospitalDepartment of Infection Control, Fukushima Medical UniversityDepartment of Orthopaedic Surgery, Showa University School of MedicineMedical Mycology Research Center, Chiba UniversityAbstract Background Kirschsteiniothelia is a saprophytic fungus that is abundantly present in the environment. To date, there have been no reports of human infection caused by this fungus. We report a case of Kirschsteiniothelia infection superimposed on a pre-existing non-infectious bursitis of the ankle. Case presentation An 81-year-old immunocompetent female local farmer noticed the presence of a nodule on her right ankle 5 years before her first visit to our hospital. A cystic mass of approximately 45 mm × 30 mm was present at the tip of the right lateral malleolus. Culture of the aspirated fluid revealed visibly black colonies and characteristic blackish hyphae; nucleotide sequence of the internal transcribed spacer region was determined and compared in a GenBank database. The results indicated Kirschsteiniothelia infection. Conclusions We described the first case of Kirschsteiniothelia infection manifested as ankle bursitis. The disease seemed to be localized and systemic antibiotics had not been used in this case. However, continued observation is needed because of the possibility of disease progression with the pathogen.http://link.springer.com/article/10.1186/s12879-018-3152-3KirschsteiniotheliaBursitisBlack fungusHuman infection
spellingShingle Masanori Nishi
Ichiro Okano
Takatoshi Sawada
Yasuka Hara
Kiwamu Nakamura
Katsunori Inagaki
Takashi Yaguchi
Chronic Kirschsteiniothelia infection superimposed on a pre-existing non-infectious bursitis of the ankle: the first case report of human infection
BMC Infectious Diseases
Kirschsteiniothelia
Bursitis
Black fungus
Human infection
title Chronic Kirschsteiniothelia infection superimposed on a pre-existing non-infectious bursitis of the ankle: the first case report of human infection
title_full Chronic Kirschsteiniothelia infection superimposed on a pre-existing non-infectious bursitis of the ankle: the first case report of human infection
title_fullStr Chronic Kirschsteiniothelia infection superimposed on a pre-existing non-infectious bursitis of the ankle: the first case report of human infection
title_full_unstemmed Chronic Kirschsteiniothelia infection superimposed on a pre-existing non-infectious bursitis of the ankle: the first case report of human infection
title_short Chronic Kirschsteiniothelia infection superimposed on a pre-existing non-infectious bursitis of the ankle: the first case report of human infection
title_sort chronic kirschsteiniothelia infection superimposed on a pre existing non infectious bursitis of the ankle the first case report of human infection
topic Kirschsteiniothelia
Bursitis
Black fungus
Human infection
url http://link.springer.com/article/10.1186/s12879-018-3152-3
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