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Title: Feohifomicosis causada por Colletotrichum gloeosporioides y Alternaria infectoria en un paciente trasplantado renal
Other Titles: Phaeohyphomycosis caused by Colletotrichum gloeosporioides and Alternaría infectoria in renal transplant recipient
Authors: Ogawa, Marilia Marufuji [UNIFESP]
Reis, Viviane [UNIFESP]
Godoy, Patricio [UNIFESP]
Menezes, Fernando Gatti de [UNIFESP]
Enokihara, Mílvia Maria Simões e Silva [UNIFESP]
Tomimori, Jane [UNIFESP]
Univ Austral Chile
Universidade Federal de São Paulo (UNIFESP)
Dept Med
Keywords: Phaeohyphomycosis
renal transplant
Alternaria infectoria
Colletotrichum gloeosporioides
Issue Date: 1-Aug-2014
Publisher: Soc Chilena Infectologia
Citation: Revista Chilena De Infectologia. Providencia: Soc Chilena Infectologia, v. 31, n. 4, p. 468-472, 2014.
Abstract: 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.
ISSN: 0716-1018
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