2014
DOI: 10.1007/s11046-014-9762-4
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A Rare Case Report of Subcutaneous Phaeohyphomycotic Cyst Caused by Exophiala oligosperma in an Immunocompetent Host with Literature Review

Abstract: We report a rare case of phaeohyphomycotic cyst in an immunocompetent patient caused by Exophiala oligosperma. This fungus is earlier known to cause infections in the immunocompromised. Identification of black fungi at species level is more challenging by conventional methods, and hence final identification of the fungi was based on sequencing of rDNA. The patient was managed with surgical excision. To the best of our knowledge, this is the first case report of E. oligosperma human infection from India.

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Cited by 13 publications
(7 citation statements)
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“…Several members of the genus Exophiala are potential agents of human and animal mycoses and for that are considered to be in the Bio Safety Level-2 (BSL-2) group. In this study, together with E. xenobiotica, we found other species associated with clinical cases, including E. oligosperma a sporadic agent of phaeohyphomycosis [81,82], E. phaeomuriformis mentioned in relation to keratitis [83], Rhinocladiella similis recently found in a nosocomial infection [84], and Knufia epidermidis associated with mild skin infections [85].…”
Section: Discussionmentioning
confidence: 50%
“…Several members of the genus Exophiala are potential agents of human and animal mycoses and for that are considered to be in the Bio Safety Level-2 (BSL-2) group. In this study, together with E. xenobiotica, we found other species associated with clinical cases, including E. oligosperma a sporadic agent of phaeohyphomycosis [81,82], E. phaeomuriformis mentioned in relation to keratitis [83], Rhinocladiella similis recently found in a nosocomial infection [84], and Knufia epidermidis associated with mild skin infections [85].…”
Section: Discussionmentioning
confidence: 50%
“…Various dematiaceous fungi have been reported from phaeohyphomycotic cysts. Various unusual fungal agents such as Phialemoniopsis ocularis [10], Phaeoacremonium inflatipes [11], Exophiala oligosperma [12], Exophiala spinifera [13], Medicopsis romeroi (Pyrenochaeta romeroi) [14,15] are the reported from of subcutaneous phaeohyphomycosis.…”
Section: Discussionmentioning
confidence: 99%
“…Phylogenetic analyses placed E. campbellii in the E. dermatitidis clade, which contains most of the recognised human pathogenic species, and suggested that E. campbellii was most closely related to E. oligosperma [ 5 ]. E. oligosperma is a rare, but known cause of subcutaneous fungal infections, having previously been reported from solitary mycotic cysts and more disseminated subcutaneous phaeohyphomycosis in both immunocompetent and compromised patients [ [15] , [16] , [17] , [18] , [19] ].…”
Section: Discussionmentioning
confidence: 99%