Exophiala jeanselmei causing subcutaneous phaeohyphomycosis in a healthy adult in Sri Lanka: A case report

<p>Phaeohyphomycosis is a chronic infection caused by filamentous dematiaceous fungi and it embraces a wide range of clinical presentations. Subcutaneous phaeohyphomycosis is caused by traumatic implantation of aetiological fungi in subcutaneous tissue and is usually reported in agricultural w...

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Main Authors: P. G. R. I. S. Welagedara, L. S. M. Sigera, I. A. Liyanage, G. M. K. Bogammana, M. M. Abeykoon, P. I. Jayasekara
Format: Article
Language:English
Published: Sri Lankan Society for Microbiology 2021-04-01
Series:Sri Lankan Journal of Infectious Diseases
Subjects:
Online Access:https://sljid.sljol.info/articles/8340
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author P. G. R. I. S. Welagedara
L. S. M. Sigera
I. A. Liyanage
G. M. K. Bogammana
M. M. Abeykoon
P. I. Jayasekara
author_facet P. G. R. I. S. Welagedara
L. S. M. Sigera
I. A. Liyanage
G. M. K. Bogammana
M. M. Abeykoon
P. I. Jayasekara
author_sort P. G. R. I. S. Welagedara
collection DOAJ
description <p>Phaeohyphomycosis is a chronic infection caused by filamentous dematiaceous fungi and it embraces a wide range of clinical presentations. Subcutaneous phaeohyphomycosis is caused by traumatic implantation of aetiological fungi in subcutaneous tissue and is usually reported in agricultural workers in the tropics. Subcutaneous phaeohyphomycosis presents with various skin manifestations and is often misdiagnosed by clinicians. <em>Exophiala</em> <em>sp</em> is a common aetiological agent of post traumatic subcutaneous phaeohyphomycosis.</p><p> </p><p>We present a middle aged farmer who presented with a subcutaneous nodule in his dominant hand. This swelling was initially diagnosed as a ganglion but turned out to be an abscess caused by <em>Exophiala jeanselmei </em>and the patient was cured by complete surgical excision without antifungal therapy. This case report aims to contribute to knowledge on this uncommon entity, in order to help practitioners to correctly diagnose and treat subcutaneous phaeohyphomycosis. </p>
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spelling doaj.art-e80b9196b23348de87bdbccd362d452e2022-12-22T04:11:32ZengSri Lankan Society for MicrobiologySri Lankan Journal of Infectious Diseases2012-81692448-96542021-04-01111475110.4038/sljid.v11i1.83405861Exophiala jeanselmei causing subcutaneous phaeohyphomycosis in a healthy adult in Sri Lanka: A case reportP. G. R. I. S. Welagedara0L. S. M. Sigera1I. A. Liyanage2G. M. K. Bogammana3M. M. Abeykoon4P. I. Jayasekara5PGIM ColomboMedical Research InstituteTeaching Hospital, KegalleTeaching Hospital, KegalleTeaching Hospital, KegalleMedical Research Institute<p>Phaeohyphomycosis is a chronic infection caused by filamentous dematiaceous fungi and it embraces a wide range of clinical presentations. Subcutaneous phaeohyphomycosis is caused by traumatic implantation of aetiological fungi in subcutaneous tissue and is usually reported in agricultural workers in the tropics. Subcutaneous phaeohyphomycosis presents with various skin manifestations and is often misdiagnosed by clinicians. <em>Exophiala</em> <em>sp</em> is a common aetiological agent of post traumatic subcutaneous phaeohyphomycosis.</p><p> </p><p>We present a middle aged farmer who presented with a subcutaneous nodule in his dominant hand. This swelling was initially diagnosed as a ganglion but turned out to be an abscess caused by <em>Exophiala jeanselmei </em>and the patient was cured by complete surgical excision without antifungal therapy. This case report aims to contribute to knowledge on this uncommon entity, in order to help practitioners to correctly diagnose and treat subcutaneous phaeohyphomycosis. </p>https://sljid.sljol.info/articles/8340phaeohyphomycosis, exophiala sp, exophiala jeanselmei, subcutaneous phaeohyphomycosis, dematiaceous fungi
spellingShingle P. G. R. I. S. Welagedara
L. S. M. Sigera
I. A. Liyanage
G. M. K. Bogammana
M. M. Abeykoon
P. I. Jayasekara
Exophiala jeanselmei causing subcutaneous phaeohyphomycosis in a healthy adult in Sri Lanka: A case report
Sri Lankan Journal of Infectious Diseases
phaeohyphomycosis, exophiala sp, exophiala jeanselmei, subcutaneous phaeohyphomycosis, dematiaceous fungi
title Exophiala jeanselmei causing subcutaneous phaeohyphomycosis in a healthy adult in Sri Lanka: A case report
title_full Exophiala jeanselmei causing subcutaneous phaeohyphomycosis in a healthy adult in Sri Lanka: A case report
title_fullStr Exophiala jeanselmei causing subcutaneous phaeohyphomycosis in a healthy adult in Sri Lanka: A case report
title_full_unstemmed Exophiala jeanselmei causing subcutaneous phaeohyphomycosis in a healthy adult in Sri Lanka: A case report
title_short Exophiala jeanselmei causing subcutaneous phaeohyphomycosis in a healthy adult in Sri Lanka: A case report
title_sort exophiala jeanselmei causing subcutaneous phaeohyphomycosis in a healthy adult in sri lanka a case report
topic phaeohyphomycosis, exophiala sp, exophiala jeanselmei, subcutaneous phaeohyphomycosis, dematiaceous fungi
url https://sljid.sljol.info/articles/8340
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