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Cutaneous Pseudallescheria boydii Infection

Byung Jun Ahn,Si Hyun Lee,Dong Seok Kim,Sang Won Kim
Epub 2016 February 24

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Abstract



Pseudallescheria(P.) boydii is a true fungus, frequently isolated from soil, sewage and polluted water. It is an opportunistic organism with low virulence and one of the most common cause of mycetoma of the extrimities, which is chronic infection of skin and subcutaneous tissue, often with multiple draining sinuses. We report a case of cutaneous P. boydii infection occurred in a 64-year old male. He had a history of total replacement of left hip 5 years ago, often ingestion of steroids and anti-inflammatory drugs. Left shin and ankle were traumatized about 2 months ago, thereafter the swelling had been developed and subcutaneous abscesses with pustules and ulceration formed gradually. The diagnosis was made by the histopathologic features, cultural isolation of the organism and scanning electron microscopic findings. The lesion responded well to oral administration of itraconazole 200 mg daily for 5 weeks.

Keywords


Pseudallescheria boydii Mold




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