A Case of Cutaneous Alternariosis Treated with Fluconazole.
- Author:
Chin Ho RHEE
1
;
Kyung Hwa NAM
;
Yong Sun CHO
;
Ki Hun SONG
;
Soek Kweon YUN
;
Han Uk KIM
Author Information
1. Department of Dermatology, Chonbuk National University Medical School, Jeonju, Korea. hanukkim@jbnu.ac.kr
- Publication Type:Case Report
- Keywords:
Alternaria;
Cutaneous alternariosis;
Fluconazole
- MeSH:
Administration, Oral;
Alternaria;
Alternariosis;
Dermis;
Female;
Fluconazole;
Forearm;
Fungi;
Giant Cells;
Humans;
Hypertension;
Middle Aged;
Soil;
Spores, Fungal
- From:Korean Journal of Medical Mycology
2010;15(4):182-187
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Alternaria is a common saprophytic fungus found in the environment such as soil, air, and a variety of objects. The cutaneous infection caused by this fungus occurs more frequent in patients with immunocompromission than in immunocompetent people. We report a case of cutaneous alternariosis in a 63-year-old woman presented with a tender erythematous patch on the right forearm. She was on medication only for hypertension. Histopathologic examination showed a dermal mixed-cell infiltrate including multinucleated giant cells. PAS staining revealed fungal elements in the dermis. Microscopic examination of the colonies showed muriform conidia. A diagnosis of cutaneous infection due to Alternaria species was made on the basis of the above mentioned findings. Oral administration of fluconazole revealed resolution of her cutaneous lesion.
