A Case of Subcutaneous Phaeohyphomycosis Caused by Exophiala Jeanselmei.
- Author:
Moo Kyu SUH
;
Jin Chun SUH
;
Seon Kyo SEO
;
Gun Yeon NA
;
Yeon Jin KIM
;
Jang Seok BANG
;
Gyoung Yim HA
;
Jeong Aee KIM
;
Hun Jun LEE
- Publication Type:Case Report
- Keywords:
Phacohyphomycosis;
Exophiala jeanselmei
- MeSH:
Agar;
Aged;
Exophiala*;
Female;
Forearm;
Humans;
Hyphae;
Inflammation;
Itraconazole;
Phaeohyphomycosis*;
Spores, Fungal
- From:Korean Journal of Dermatology
1999;37(3):395-399
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of subcutaneous phaeohyphomycosis caused by Exophiala(E,) jeanselmei in a 66-year-old female, who showed a mild tender, 4.5x3.5cm sized, erythematous cystic mass with satellite lesions on the left forearm for 4 months. Histopathologically, suppurative granulomatous inflammation, brownish conidia in a chain and hyphae were observed. Fungal culture grew out the typical black-gray velvety colonies of E. jeanselmei after 2 weeks. The isolate grow well at 25 C, but very poorly at 37 C. No growth could be observed at 40 C. Sporulation adequate for evaluation was present on the malt extract agar. We confirmed E. jeanselmei by colony and microscopic morphology, temperature tolerance and sugar assimilation tests. The patient had been treated with itraconazole for 6 momths. Complete remission was observed.
