Nodular Subcutaneous Phaeohyphomycosis due to Medicopsis romeroi in an Immunocompetent Patient

Fungal infections like subcutaneous phaeohyphomycosis are uncommon but are increasing lately, especially in tropical regions like India. Identification of correct aetiologic agent is essential as different species can have different organ tropism. Here, a rare case of nodular subcutaneous phaeohyp...

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Main Authors: Smita Deshkar, Niranjan Patil, Ashish Lad, Shraddha Amberkar, Swati Sharan
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2021-08-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/15244/50213_CE[Ra1]_F[SK]_PF1(AG_OM)_PFA(KM)_PB(AG_KM)_PN(KM).pdf
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author Smita Deshkar
Niranjan Patil
Ashish Lad
Shraddha Amberkar
Swati Sharan
author_facet Smita Deshkar
Niranjan Patil
Ashish Lad
Shraddha Amberkar
Swati Sharan
author_sort Smita Deshkar
collection DOAJ
description Fungal infections like subcutaneous phaeohyphomycosis are uncommon but are increasing lately, especially in tropical regions like India. Identification of correct aetiologic agent is essential as different species can have different organ tropism. Here, a rare case of nodular subcutaneous phaeohyphomycosis in an immunocompetent 62-year-old male patient who developed nodule over right dorsum of foot is reported. After various diagnostic tests a rare dematiaceous fungus Medicopsis romeroi was identified as a causative agent in the nodular material by Internal Transcribed Spacer (ITS) sequencing. Surgical excision and antifungal therapy of itraconazole proved beneficial with no recurrence during a six months of follow-up. Medicopsis romeroi has been debated for its role in human infections however, it should be considered as one of the aetiologic agents of subcutaneous phaeohyphomycosis.
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spelling doaj.art-dcc2fe9e6cc246018a97fb2cc525c8be2022-12-21T19:13:14ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-08-01158DD01DD0310.7860/JCDR/2021/50213.15244Nodular Subcutaneous Phaeohyphomycosis due to Medicopsis romeroi in an Immunocompetent PatientSmita Deshkar0Niranjan Patil1Ashish Lad2Shraddha Amberkar3Swati Sharan4Microbiologist, Department of Microbiology and Molecular Biology, Metropolis Healthcare Limited, Mumbai, Maharashtra, India.Head, Department of Microbiology and Molecular Biology, Metropolis Healthcare Limited, Mumbai, Maharashtra, India.Senior Laboratory Manager, Department of Microbiology and Molecular Biology, Metropolis Healthcare Limited, Mumbai, Maharashtra, India.Section Head, Department of Microbiology, Metropolis Healthcare Limited, Mumbai, Maharashtra, India.Senior Scientific Officer, Department of Molecular Biology, Metropolis Healthcare Limited, Mumbai, Maharashtra, India.Fungal infections like subcutaneous phaeohyphomycosis are uncommon but are increasing lately, especially in tropical regions like India. Identification of correct aetiologic agent is essential as different species can have different organ tropism. Here, a rare case of nodular subcutaneous phaeohyphomycosis in an immunocompetent 62-year-old male patient who developed nodule over right dorsum of foot is reported. After various diagnostic tests a rare dematiaceous fungus Medicopsis romeroi was identified as a causative agent in the nodular material by Internal Transcribed Spacer (ITS) sequencing. Surgical excision and antifungal therapy of itraconazole proved beneficial with no recurrence during a six months of follow-up. Medicopsis romeroi has been debated for its role in human infections however, it should be considered as one of the aetiologic agents of subcutaneous phaeohyphomycosis.https://jcdr.net/articles/PDF/15244/50213_CE[Ra1]_F[SK]_PF1(AG_OM)_PFA(KM)_PB(AG_KM)_PN(KM).pdffungal infectioninternal transcribed spacer sequencingitraconazole
spellingShingle Smita Deshkar
Niranjan Patil
Ashish Lad
Shraddha Amberkar
Swati Sharan
Nodular Subcutaneous Phaeohyphomycosis due to Medicopsis romeroi in an Immunocompetent Patient
Journal of Clinical and Diagnostic Research
fungal infection
internal transcribed spacer sequencing
itraconazole
title Nodular Subcutaneous Phaeohyphomycosis due to Medicopsis romeroi in an Immunocompetent Patient
title_full Nodular Subcutaneous Phaeohyphomycosis due to Medicopsis romeroi in an Immunocompetent Patient
title_fullStr Nodular Subcutaneous Phaeohyphomycosis due to Medicopsis romeroi in an Immunocompetent Patient
title_full_unstemmed Nodular Subcutaneous Phaeohyphomycosis due to Medicopsis romeroi in an Immunocompetent Patient
title_short Nodular Subcutaneous Phaeohyphomycosis due to Medicopsis romeroi in an Immunocompetent Patient
title_sort nodular subcutaneous phaeohyphomycosis due to medicopsis romeroi in an immunocompetent patient
topic fungal infection
internal transcribed spacer sequencing
itraconazole
url https://jcdr.net/articles/PDF/15244/50213_CE[Ra1]_F[SK]_PF1(AG_OM)_PFA(KM)_PB(AG_KM)_PN(KM).pdf
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