Feo-hifomicose subcutânea por Exophiala jeanselmei localizada na bolsa escrotal: relato de caso

Rossetto, André Luiz; Dellatorre, Gerson; Pérsio, Renan André; Romeiro, José Ceciliano de Menezes; Cruz, Ramón

doi:10.1590/s0365-05962010000400013

Cited by 9 publications

(5 citation statements)

References 14 publications

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“…Exophiala xenobiotica is a rare species. This disease usually affects rural and tropical populations in Central and South America [5,6]. The clinical polymorphism presents in phaeohyphomycosis is exacerbated by iatrogenic immunosuppression, making the diagnosis extremely difficult.…”

Section: Introductionmentioning

confidence: 99%

Cutaneous phaeohyphomycosis caused by Exophiala xenobiotica: A case report

Espanhol

Recuero

Pagani

et al. 2020

Medical Mycology Case Reports

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We report a case of phaeohyphomycosis that affected the leg of a 45-year-old Brazilian man, car mechanic and renal transplanted. The direct mycological examination evidenced dematiaceous septated hyphae. The pathogenic fungal species was identified as Exophiala xenobiotica. Antifungal activity in vitro revealed terbinafine as the best antifungal. For treatment, it was chosen surgical excision of the entire lesion and used systemic itraconazole. Phaeohyphomycosis caused by Exophiala xenobiotica is extremely rare and is closely related to transplant patients.

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Section: Introductionmentioning

confidence: 99%

Cutaneous phaeohyphomycosis caused by Exophiala xenobiotica: A case report

Espanhol

Recuero

Pagani

et al. 2020

Medical Mycology Case Reports

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“…Revankar et al (35) reported episodes of fever (76%), pulmonary infections (46%), cutaneous manifestations (33%), such as rashes and ulcers, cardiac infections (29%), central nervous system infections (22%), and urinary infections (22%) in 72 patients studied. Some cases of scrotal pouch infection have been reported (36)(37)(38). In our report, the identification of the black fungus excluded the suspicion of wrist neoplasia and provided the basis for the adequate surgical treatment with patient clinical improvement.…”

Section: Phaeohyphomycosis In Wrist Nodulementioning

confidence: 57%

How a discerning cytological examination can aid in the diagnosis of infectious diseases: case reports

Faria

Júnior

Faria

et al. 2021

Braz J Med Biol Res

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Infections caused by uncommon and resistant pathogens in unusual sites have been increasingly reported in medical literature. We describe four cases of rare cytological findings and clinical impact for patients. In the first case, Aspergillus sp and Pneumocystis jirovecii were observed in the bronchoalveolar lavage of a patient with severe systemic lupus. In the second and third cases, we describe the presence of Trichomonas sp and Strongyloides sp larvae in samples of pleural and peritoneal fluid, respectively. The fourth report is about a patient with a wrist subcutaneous nodule whose synovial aspiration and cytology revealed the presence of brown septate hyphae. The early identification of the infectious agent in the cytological examination was essential for the introduction and/or re-adaptation of therapy in the four cases described. Patients in this report were immunocompromised with severe comorbidities, conditions often associated with unfavorable clinical outcomes.

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“… 5 Itraconazole is the preferred drug. 10 In one study, the drug most used was amphotericin B, which was administered to 62 (97%) of the 64 patients who received antifungal therapy. 5 …”

Section: Discussionmentioning

confidence: 99%

Phaeohyphomycosis infection in the knee

Sadigursky¹,

Ferreira²,

Corrêa³

2016

Revista Brasileira de Ortopedia (English Edition)

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Phaeohyphomycosis is caused by cutaneous fungi and rarely affects large joints. This is a case report on phaeohyphomycosis in the left knee of an elderly individual without immunosuppression. It was accompanied by pain and swelling the anterior knee. The case was first suspected to be suprapatellar bursitis, and was treated with nonsteroidal anti-inflammatory drugs, without remission of symptoms. Surgical treatment was performed, with resection of the suprapatellar bursa and anterior region of the quadriceps tendon. The material was sent for anatomopathological examination and culturing. The pathological examination showed phaeohyphomycosis. The treatment instituted consisted of itraconazole, 200 mg/day for six weeks, and complete remission of symptoms was achieved. The physical examination remained normal after one year of follow-up. This is the first published case of phaeohyphomycosis infection in the suprapatellar region of the knee. Although almost all the cases reported have been associated with immunosuppressed patients, this was an exception. It is important to suspect phaeohyphomycosis in cases of knee infection, in the area of the suprapatellar bursa, when the symptoms do not resolve after clinical treatment.

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Feo-hifomicose subcutânea por Exophiala jeanselmei localizada na bolsa escrotal: relato de caso

Cited by 9 publications

References 14 publications

Cutaneous phaeohyphomycosis caused by Exophiala xenobiotica: A case report

Cutaneous phaeohyphomycosis caused by Exophiala xenobiotica: A case report

How a discerning cytological examination can aid in the diagnosis of infectious diseases: case reports

Phaeohyphomycosis infection in the knee

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