Phaeohyphomycosis: a clinical-epidemiological and diagnostic study of eighteen cases in Rio Grande do Sul, Brazil

The goal of this study was to review 18 cases of phaeohyphomycosis in Rio Grande do Sul. The records of all of the patients with a diagnosis of phaeohyphomycosis between 1995-2010 were reviewed. Twelve of the 18 patients (66.6%) were male. The average age of the patients was 50 years old (range: 16-...

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Main Authors: Cecília Bittencourt Severo, Flávio de Mattos Oliveira, Emily Ferreira Salles Pilar, Luiz Carlos Severo
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 2012-11-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762012000700003&lng=en&tlng=en
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author Cecília Bittencourt Severo
Flávio de Mattos Oliveira
Emily Ferreira Salles Pilar
Luiz Carlos Severo
author_facet Cecília Bittencourt Severo
Flávio de Mattos Oliveira
Emily Ferreira Salles Pilar
Luiz Carlos Severo
author_sort Cecília Bittencourt Severo
collection DOAJ
description The goal of this study was to review 18 cases of phaeohyphomycosis in Rio Grande do Sul. The records of all of the patients with a diagnosis of phaeohyphomycosis between 1995-2010 were reviewed. Twelve of the 18 patients (66.6%) were male. The average age of the patients was 50 years old (range: 16-74 years). Eleven patients (61%) presented with subcutaneous lesions. Seven patients (38.8%) had received a solid organ transplant. In all of the cases, the presence of melanin in the fungal cells was determined by Fontana-Masson staining of tissue sections and documented. Among the 18 patients, a total of 11 different fungal species were isolated. The causative organisms included Exophiala jeanselmei, Alternaria, Curvularia, Cladophialophora and Colletotrichum gloeosporioides. To our knowledge, this review reports the first case of subcutaneous phaeohyphomycosis caused by C. gloeosporioides in a lung transplant patient. The number of reported cases of phaeohyphomycosis has increased in the last decade. In a number of cases, this increased incidence may be primarily attributed to iatrogenic immunodeficiency.
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spelling doaj.art-e9cb38627b8a4742a91654eca1cb48c62023-08-02T09:15:51ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz1678-80602012-11-01107785485810.1590/S0074-02762012000700003S0074-02762012000700003Phaeohyphomycosis: a clinical-epidemiological and diagnostic study of eighteen cases in Rio Grande do Sul, BrazilCecília Bittencourt Severo0Flávio de Mattos Oliveira1Emily Ferreira Salles Pilar2Luiz Carlos Severo3Santa Casa de Misericórdia de Porto AlegreSanta Casa de Misericórdia de Porto AlegreSanta Casa de Misericórdia de Porto AlegreSanta Casa de Misericórdia de Porto AlegreThe goal of this study was to review 18 cases of phaeohyphomycosis in Rio Grande do Sul. The records of all of the patients with a diagnosis of phaeohyphomycosis between 1995-2010 were reviewed. Twelve of the 18 patients (66.6%) were male. The average age of the patients was 50 years old (range: 16-74 years). Eleven patients (61%) presented with subcutaneous lesions. Seven patients (38.8%) had received a solid organ transplant. In all of the cases, the presence of melanin in the fungal cells was determined by Fontana-Masson staining of tissue sections and documented. Among the 18 patients, a total of 11 different fungal species were isolated. The causative organisms included Exophiala jeanselmei, Alternaria, Curvularia, Cladophialophora and Colletotrichum gloeosporioides. To our knowledge, this review reports the first case of subcutaneous phaeohyphomycosis caused by C. gloeosporioides in a lung transplant patient. The number of reported cases of phaeohyphomycosis has increased in the last decade. In a number of cases, this increased incidence may be primarily attributed to iatrogenic immunodeficiency.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762012000700003&lng=en&tlng=enphaeohyphomycosissolid organ transplantsExophiala jeanselmeiAlternaria sp.Curvularia sp.Colletotrichum gloeosporioides
spellingShingle Cecília Bittencourt Severo
Flávio de Mattos Oliveira
Emily Ferreira Salles Pilar
Luiz Carlos Severo
Phaeohyphomycosis: a clinical-epidemiological and diagnostic study of eighteen cases in Rio Grande do Sul, Brazil
Memorias do Instituto Oswaldo Cruz
phaeohyphomycosis
solid organ transplants
Exophiala jeanselmei
Alternaria sp.
Curvularia sp.
Colletotrichum gloeosporioides
title Phaeohyphomycosis: a clinical-epidemiological and diagnostic study of eighteen cases in Rio Grande do Sul, Brazil
title_full Phaeohyphomycosis: a clinical-epidemiological and diagnostic study of eighteen cases in Rio Grande do Sul, Brazil
title_fullStr Phaeohyphomycosis: a clinical-epidemiological and diagnostic study of eighteen cases in Rio Grande do Sul, Brazil
title_full_unstemmed Phaeohyphomycosis: a clinical-epidemiological and diagnostic study of eighteen cases in Rio Grande do Sul, Brazil
title_short Phaeohyphomycosis: a clinical-epidemiological and diagnostic study of eighteen cases in Rio Grande do Sul, Brazil
title_sort phaeohyphomycosis a clinical epidemiological and diagnostic study of eighteen cases in rio grande do sul brazil
topic phaeohyphomycosis
solid organ transplants
Exophiala jeanselmei
Alternaria sp.
Curvularia sp.
Colletotrichum gloeosporioides
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762012000700003&lng=en&tlng=en
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