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A Case of Cutaneous Alternariosis in Liver Transplant Patient

Jae Yong Chang,Ju Hee Lee,Kwang Hoon Lee
Epub 2016 February 19

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Abstract



A case of cutaneous alternariosis is reported in a 61-year-old female who underwent liver transplantation one year earlier. The infection manifested as a crusted papule about 1 cm in diameter on the right knee. Histological examination with silver methenamine and periodic acid-Schiff diastase revealed fungal spores and hyphae with chronic granulomatous inflammation. Biopsy fragments inoculated on Sabouraud-glucose agar with chloramphenicol produced colonies which were identified as Alternaria species on the basis of macroscopic and microscopic characters. Complete excision and treatment with 250 mg/day oral terbinafine for one month resulted in a satisfactory course with no signs

of local recurrence over follow-up period of one year.



Keywords


Cutaneous alternariosis Immunosuppression Liver transplantation




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