Phaeohyphomycosis caused by Colletotrichum gloeosporioides and Alternaria infectoria in renal transplant recipient

Ogawa, M; Reis V.; Godoy, P; de Menezes, FG; Enokihara, M; Tomimori, J

Abstract

Several species of black fungi have been reported as agents of subcutaneous phaeohyphomycosis. Although most of these fungi are considered opportunistic pathogens, they play an important role in phaeohyphomycosis, a disease considered an emergent mycosis among solid organ recipients. We report a case of phaeohyphomycosis caused by Alternaria infectoria of the left hand and the 4th finger of the right hand of a 68-year-old male who underwent a renal transplant 35 months before. The lesion was treated with surgical excision. One year later, the patient presented a new lesion on the 5th finger of the right hand, but this time caused by Colletotrichum gloeosporioides that was also removed surgically. Both lesions did not relapse after being removed. Antifungal susceptibility testing was performed against five antifungal drugs (amphotericin B, itraconazole, flucytosine, fluconazole and voriconazole). Alternaria infectoria was resistant to all five drugs and C. gloeosporioides was sensitive only to amphotericin B and voriconazole. We emphasize the need of histopathologic and microbiologic studies of new lesions of phaeohyphomycosis, since in this case the same patient was infected twice by two different fungi.

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Título según WOS: Phaeohyphomycosis caused by Colletotrichum gloeosporioides and Alternaria infectoria in renal transplant recipient
Título de la Revista: REVISTA CHILENA DE INFECTOLOGIA
Volumen: 31
Número: 4
Editorial: SOC CHILENA INFECTOLOGIA
Fecha de publicación: 2014
Página de inicio: 468
Página final: 472
Idioma: Spanish
Notas: ISI