Chronic Infection Due to Fusarium oxysporum Mimicking Lupus Vulgaris: Case Report and Review of Cutaneous Involvement in Fusariosis

Pereiro, Manuel; Mt, Abalde; Zulaica, Á.; Jl, Caeiro; Florez, Angel Alberto; Peteiro, C.; Toribio, Jaime

doi:10.1080/000155501750208218

Cited by 21 publications

(8 citation statements)

References 23 publications

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“…Fusarium infection can be present in the skin with a variety of lesions, more commonly with erythematous papules and nodules with central necrosis, as in our patient, and subcutaneous nodular lesions. Less frequently, cutaneous fusariosis manifests as onychomycosis, intertrigo, finger cellulitis, pustules, ecthyma gangrenosum-like lesions and mycetoma, or lesions resembling granuloma anulare or facial granuloma (5,7,9,11,12). To our knowledge, only two cases of localized cutaneous fusariosis in renal transplant recipients have been reported previously.…”

Section: Case Reportmentioning

confidence: 82%

Localized Cutaneous Hyalohyphomycosis Caused by a Fusarium Species Infection in a Renal Transplant Patient

et al. 2003

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Fusariosis is a hyalohyphomycosis due to Fusarium species that mainly occurs in immunocompromised hosts. The clinical spectrum of Fusarium infection comprises localized and disseminated forms. A case of localized cutaneous fusariosis caused by Fusarium solani in a renal transplant patient is described, and the skin manifestations of the disease are discussed. CASE REPORTA 53-year-old man presented with a 2-month history of asymptomatic erythematous papules and nodules on his right lower leg. Similar lesions had also appeared more recently on the surgical scar of a previous skin biopsy. He had received a nonrelated cadaveric renal transplant in 1998 for end-stage renal failure due to Alport syndrome, and he was maintained on immunosuppression with prednisone at 10 mg daily and cyclosporine at 150 mg daily. On examination, there were scattered erythematous papules and nodules that sometimes coalesced in violaceous and focally necrotic plaques limited to the extensor aspect of the lower right leg (Fig. 1). No lymphadenopathy was noted, and the physical examination was otherwise normal. Histopathology of a skin sample revealed a granulomatous suppurative infiltrate extending to the entire dermis and numerous ectatic blood vessels (Fig. 2a). Many hyaline hyphae and unicellular fungal elements were sparsely seen in the infiltrate and within blood vascular spaces (Fig. 2b). Periodic acid-Schiff staining showed hyphae of more than 1 m in diameter and reproductive structures represented by micro-

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Section: Case Reportmentioning

confidence: 82%

Localized Cutaneous Hyalohyphomycosis Caused by a Fusarium Species Infection in a Renal Transplant Patient

et al. 2003

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“…Diabetes mellitus and corticosteroids (13) are not definitely recognized as true risk factors for fusariosis. Pereiro et al (15) suggested that cryotherapy might have promoted cutaneous lesions by F oxysporum in a diabetic patient…”

Section: Discussionmentioning

confidence: 99%

Ulcerous Lesions Disclosing Cutaneous Infection with Fusarium solani

Pérez-Pérez¹,

Pereiro²,

Sánchez‐Aguilar³

et al. 2007

Acta Derm Venereol

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Fusarium spp. are emergent opportunistic moulds capable of producing life-threatening diseases, usually in immunocompromised hosts. When they infect immunocompetent patients, they usually cause localized diseases. We describe here a case of cutaneous fusariosis in a patient with a medical history of diabetes mellitus and non-Hodgkin's lymphoma who presented with two painful lesions on her left leg. The diagnosis was made on the basis of histopathological findings and skin biopsy culture. The lesions resolved after treatment with oral itraconazole. Cutaneous fusariosis manifests clinically as lesions that can be grouped into a few clinical patterns, and should always be considered in the differential diagnosis of necrotic cutaneous lesions.

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“…Fusarium skin infection can present as erythematous papules and nodules with necrosis and subcutaneous nodular lesions, as onychomycosis, intertrigo, finger cellulitis, pustules, ecthyma gangrenosum‐like lesions and mycetoma [32–36]. Although facial granuloma is ordinarily an indolent condition, it can rapidly lead to disseminated infection in immunocompromised patients.…”

Section: Fusarium Infections Characteristicsmentioning

confidence: 99%

Fusarium peritonitis concomitant to kidney transplantation successfully managed with voriconazole: case report and review of the literature

et al. 2005

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Summary Fusarium infections in solid organ transplant recipients are often localized, occur later in the post‐transplantation period, and have a better outcome than fusarial infections in patients with hematologic malignancies or bone marrow transplants. We report the first case of proven peritonitis caused by Fusarium species in a renal transplant recipient which is also the first successfully managed with voriconazole. We also review previously reported cases of fusarial infection in solid organ transplant recipients.

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Chronic Infection Due to Fusarium oxysporum Mimicking Lupus Vulgaris: Case Report and Review of Cutaneous Involvement in Fusariosis

Cited by 21 publications

References 23 publications

Localized Cutaneous Hyalohyphomycosis Caused by a Fusarium Species Infection in a Renal Transplant Patient

Localized Cutaneous Hyalohyphomycosis Caused by a Fusarium Species Infection in a Renal Transplant Patient

Ulcerous Lesions Disclosing Cutaneous Infection with Fusarium solani

Fusarium peritonitis concomitant to kidney transplantation successfully managed with voriconazole: case report and review of the literature

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