Fernandez-Pittol MJ, Alejo-Cancho I, Rubio E, López M, García A, Mascaro JM, Marco F, Vila J, Puig de la Bellacasa J. Cutaneous infection by Phaeoacremonium parasiticum.
Rev Iberoam Micol 2019;
36:90-92. [PMID:
30853370 DOI:
10.1016/j.riam.2018.10.003]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Revised: 08/06/2018] [Accepted: 10/30/2018] [Indexed: 10/27/2022] Open
Abstract
BACKGROUND
Phaeoacremonium parasiticum is considered a rare infectious agent that is part of a heterogeneous group of fungi causing phaeohyphomycosis. This organism is capable of producing subcutaneous infections, eumycetomas, osteomyelitis, arthritis, myositis and also disseminated diseases, such as fungemia and endocarditis.
CASE REPORT
We describe a case of cutaneous infection by P. parasiticum in a kidney transplant patient. The identification of this microorganism was performed by microbiological and histopathological studies and confirmed with the sequence of the gene encoding β-tubulin and a real time panfungal PCR targeting 18S ribosomal RNA gene. The microorganism was correctly identified by phenotypic and molecular methods. The patient was treated with oral antifungal therapy and a debulking surgery and evolved without any complication.
CONCLUSIONS
The diagnosis of this infection is difficult and usually affects kidney transplant patients, but the reasons of this association are still unknown.
Collapse