Feohifomicosis causada por Colletotrichum gloeosporioides y Alternaria infectoria en un paciente trasplantado renal

Feohifomicosis causada por Colletotrichum gloeosporioides y Alternaria infectoria en un paciente trasplantado renal

Título alternativo Phaeohyphomycosis caused by Colletotrichum gloeosporioides and Alternaría infectoria in renal transplant recipient
Autor Ogawa, Marilia Marufuji Autor UNIFESP Google Scholar
Reis, Viviane Autor UNIFESP Google Scholar
Godoy, Patricio Autor UNIFESP Google Scholar
Menezes, Fernando Gatti de Autor UNIFESP Google Scholar
Enokihara, Mílvia Maria Simões e Silva Autor UNIFESP Google Scholar
Tomimori, Jane Autor UNIFESP Google Scholar
Instituição Univ Austral Chile
Universidade Federal de São Paulo (UNIFESP)
Dept Med
Resumo Several species of black fungi have been reported as agents of subcutaneous phaeohyphomycosis. Although most of these fungi are considered opportunistic pathogens, they play an important role in phaeohyphomycosis, a disease considered an emergent mycosis among solid organ recipients. We report a case of phaeohyphomycosis caused by Alternaria infectoria of the left hand and the 4th finger of the right hand of a 68-year-old male who underwent a renal transplant 35 months before. The lesion was treated with surgical excision. One year later, the patient presented a new lesion on the 5th finger of the right hand, but this time caused by Colletotrichum gloeosporioides that was also removed surgically. Both lesions did not relapse after being removed. Antifungal susceptibility testing was performed against five antifungal drugs (amphotericin B, itraconazole, flucytosine, fluconazole and voriconazole). Alternaria infectoria was resistant to all five drugs and C. gloeosporioides was sensitive only to amphotericin B and voriconazole. We emphasize the need of histopathologic and microbiologic studies of new lesions of phaeohyphomycosis, since in this case the same patient was infected twice by two different fungi.
Assunto Phaeohyphomycosis
renal transplant
Alternaria infectoria
Colletotrichum gloeosporioides
Idioma Espanhol
Data 2014-08-01
Publicado em Revista Chilena De Infectologia. Providencia: Soc Chilena Infectologia, v. 31, n. 4, p. 468-472, 2014.
ISSN 0716-1018 (Sherpa/Romeo, fator de impacto)
Editor Soc Chilena Infectologia
Extensão 468-472
Fonte http://dx.doi.org/10.4067/S0716-10182014000400014
Direito de acesso Acesso aberto Open Access
Tipo Artigo
Web of Science WOS:000340735200014
SciELO S0716-10182014000400014 (estatísticas na SciELO)
URI http://repositorio.unifesp.br/11600/45415

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