Phaeohyphomycosis in renal transplantation: report of two cases

Oliveira, Walmar Roncalli Pereira de; Borsato, M.; Dabronzo, Maria Luiza Ducati; Neto, Cyro Festa; Rocha, Larissa Aragão; Nunes, Ricardo

doi:10.1590/abd1806-4841.20163954

Cited by 9 publications

(10 citation statements)

References 10 publications

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“…A number of species have since been reported as the cause of phaeohyphomycosis in renal transplant recipients . Table highlights a review of Exophiala infections in all solid organ transplant recipients for comparison, as well as our presented case (Table ).…”

Section: Discussionmentioning

confidence: 93%

Phaeohyphomycosis due to Exophiala infections in solid organ transplant recipients: Case report and literature review

Oberlin

Nichols

Rosa

et al. 2017

Transplant Infectious Dis

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This case report and literature review underscores the cutaneous presentations of phaeohyphomycosis in the solid organ transplant population. Increased cognizance with prompt identification is critical. The therapy and clinical outcomes of phaeohyphomycosis, caused by the Exophiala genus, in the solid organ transplant population, is analyzed to examine optimal care. This review highlights the inherent difficulties in providing the appropriate duration of antifungal therapy to avoid relapsing infections in immunosuppressed patients.

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Section: Discussionmentioning

confidence: 93%

Phaeohyphomycosis due to Exophiala infections in solid organ transplant recipients: Case report and literature review

Oberlin

Nichols

Rosa

et al. 2017

Transplant Infectious Dis

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“…Regarding deep mycosis, the diversity of phaeohyphomycosis lesions in our patients may reflect the differences in disease progression, variable host response, and degree of the immunosuppression. The incidence of this rare mycosis seems to be rising owing to enhancements in immunosuppressant regimens …”

Section: Discussionmentioning

confidence: 99%

Skin lesions in organ transplant recipients: a study of 177 consecutive Brazilian patients

et al. 2018

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Background Skin lesions are very common among organ transplant recipients (OTR), particularly infections and tumors, because of the immunosuppressive state these patients are put in.Methods 177 OTR were examined. Skin lesions were categorized into neoplastic, infectious, and inflammatory diseases. ResultsThe mean age of OTR was 52 years, the mean age at transplantation was 42.7 years, and kidney was the most common organ transplanted (72%). Skin lesions were found in 147 patients (83%). Cutaneous infections were seen in 106 patients (60%). Warts (30%) had the larger incidence and were associated with azathioprine (P = 0.026), cyclosporine (P = 0.006), and tacrolimus (P = 0.009). Superficial mycoses occurred in 16% of OTR, mostly onychomycosis, which was associated with tacrolimus (P = 0.040). Actinic keratosis (AK) occurred in 31% of patients and cutaneous tumors in 56%. Squamous cell carcinoma (SCC) was the most common tumor type affecting 36% of OTR (n = 64), with invasive SCC predominating over in situ SCC, whereas basal cell carcinoma (BCC) accounted for 17%. Both SCC and BCC were more numerous in patients' skin type I (P < 0.05). SCC was more frequent (36%) in combined kidney and liver recipients (P = 0.004), and BCC was associated with cyclosporine (P = 0.047). Inflammatory complications (acne, alopecia, hypertrichosis, and gingival overgrowth) were observed in 17.5% of patients.Conclusions Organ transplant recipients must be regularly evaluated by dermatologists, who should be alert to the onset of infections and skin (pre)malignant diseases in these patients.

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“…Though no history of trauma was found with our patient, foot localization might suggest this point of entrance for the fungus. Subcutaneous infections due to P. romeroi are rare ( Girard et al, 2004 ; Badali et al, 2010a ; Khan et al, 2011 ; Oliveira et al, 2016 ; Sharma et al, 2016 ). Cases are mostly related to immunosuppressive conditions (renal transplant, rheumatoid arthritis, corticosteroid…).…”

Section: Discussionmentioning

confidence: 99%

“…There is no known correlation between etiologic agents and the clinical presentation of phaeohyphomycosis (Oliveira et al, 2016). …”

Section: Introductionmentioning

confidence: 99%

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Subcutaneous Phaeohyphomycosis Due to Pyrenochaeta romeroi Mimicking a Synovial Cyst

et al. 2016

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Opportunistic subcutaneous fungal infections are increasing nowadays due to the growing number of medical conditions causing immunosuppression, especially organ transplant. The incidence rate of subcutaneous phaeohyphomycosis is very low. Most studies found are case reports. They showed a wide variation of clinical presentations. Pyrenochaeta romeroi, a fungus from the Dematiaceae group is a saprophyte found in soil and plants and a possible causative agent of phaeohyphomycosis. We present a rare case of subcutaneous phaeohyphomycosis caused by P. romeroi mimicking a synovial cyst in a diabetic patient.

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Phaeohyphomycosis in renal transplantation: report of two cases

Cited by 9 publications

References 10 publications

Phaeohyphomycosis due to Exophiala infections in solid organ transplant recipients: Case report and literature review

Phaeohyphomycosis due to Exophiala infections in solid organ transplant recipients: Case report and literature review

Skin lesions in organ transplant recipients: a study of 177 consecutive Brazilian patients

Subcutaneous Phaeohyphomycosis Due to Pyrenochaeta romeroi Mimicking a Synovial Cyst

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