Feohifomicosis causada por Colletotrichum gloeosporioides y Alternaria infectoria en un paciente trasplantado renal

Feohifomicosis causada por Colletotrichum gloeosporioides y Alternaria infectoria en un paciente trasplantado renal

Alternative title Phaeohyphomycosis caused by Colletotrichum gloeosporioides and Alternaría infectoria in renal transplant recipient
Author Ogawa, Marilia Marufuji Autor UNIFESP Google Scholar
Reis, Viviane Autor UNIFESP Google Scholar
Godoy, Patricio Autor UNIFESP Google Scholar
Menezes, Fernando Gatti de Autor UNIFESP Google Scholar
Enokihara, Mílvia Maria Simões e Silva Autor UNIFESP Google Scholar
Tomimori, Jane Autor UNIFESP Google Scholar
Institution Univ Austral Chile
Universidade Federal de São Paulo (UNIFESP)
Dept Med
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.
Keywords Phaeohyphomycosis
renal transplant
Alternaria infectoria
Colletotrichum gloeosporioides
Language Spanish
Date 2014-08-01
Published in Revista Chilena De Infectologia. Providencia: Soc Chilena Infectologia, v. 31, n. 4, p. 468-472, 2014.
ISSN 0716-1018 (Sherpa/Romeo, impact factor)
Publisher Soc Chilena Infectologia
Extent 468-472
Origin http://dx.doi.org/10.4067/S0716-10182014000400014
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000340735200014
SciELO ID S0716-10182014000400014 (statistics in SciELO)
URI http://repositorio.unifesp.br/11600/45415

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