2021
DOI: 10.20344/amp.13496
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Emerging Cutaneous Phaeohyphomycosis Caused by Alternaria infectoria

Abstract: Alternaria species belong to a group of opportunistic fungi that causes skin infection mainly in immunosuppressed patients. The authors describe two clinically distinct cases of cutaneous alternariosis caused by Alternaria infectoria in patients under prolonged corticosteroid treatment. Additionally, a brief review of published cases in portuguese patients is conducted.

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Cited by 9 publications
(8 citation statements)
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(18 reference statements)
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“…The high prevalence is noteworthy in the examined berries of so-called 'melanized' fungi (species containing melanin, also called 'phaeoid' 'dematiaceous' or 'dark' fungi), mainly from the genera Alternaria, Cladosporium and Curvularia), which cause infections described as phaeohyphomycoses, aggravated by melanin, a known virulence factor [51,52,53].…”
Section: Levels Of Mycotoxins In Berry Fruitsmentioning
confidence: 99%
“…The high prevalence is noteworthy in the examined berries of so-called 'melanized' fungi (species containing melanin, also called 'phaeoid' 'dematiaceous' or 'dark' fungi), mainly from the genera Alternaria, Cladosporium and Curvularia), which cause infections described as phaeohyphomycoses, aggravated by melanin, a known virulence factor [51,52,53].…”
Section: Levels Of Mycotoxins In Berry Fruitsmentioning
confidence: 99%
“…The published literature details several opportunistic human infections that are caused by the Alternaria sp. The most common clinical manifestations are skin and subcutaneous infections (74.3%), and these are followed by oculomycosis (9.5%), invasive and non‐invasive rhinosinusitis (8.1%), and onychomycosis (8.1%) (Kieselová et al, 2020; Pastor & Guarro, 2008). The authors report that immunosuppression is frequently associated with cutaneous and subcutaneous infections and rhinosinusitis.…”
Section: Resultsmentioning
confidence: 99%
“…Sequencing of other loci such as glyceraldehyde‐3‐phosphate dehydrogenase (GAPDH), RNA polymerase's second largest subunit (RPB2), and translation elongation factor 1‐alpha (TEF‐1) could be done in the future to improve the resolution of species identification. Although we did not resolve the identity of this particular fungus to species, it is interesting to note that Alternaria species have been identified as cutaneous opportunistic pathogens of humans [20, 21] as well as a dominant genus in the biological soil crusts of the Colorado Plateau [22, 23], an area that includes Whitewater, Colorado.…”
Section: Resultsmentioning
confidence: 99%