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. 2015 Jan 29:8:1-4.
doi: 10.1016/j.mmcr.2015.01.004. eCollection 2015 Jun.

Cutaneous infection by different Alternaria species in a liver transplant recipient

Susana Brás  1 , Raquel Sabino  2 , André Laureano  1 , Helena Simões  2 , Cândida Fernandes  1 , Gabriela Marques-Pinto  1 , Jorge Cardoso  1 , Cristina Veríssimo  2
Affiliations

Cutaneous infection by different Alternaria species in a liver transplant recipient

Susana Brás et al. Med Mycol Case Rep. .

Abstract

Fungal invasive infections are rare in general population but are an emergent cause of infection in the immunocompromized population, especially in the solid organ transplant recipients. Herein the authors report a clinical case of a liver transplanted patient suffering a cutaneous co-existent infection with A. alternata as well as A. infectoria. To our knowledge this is the first case of cutaneous concomitant infection due to those two species reported not only in Portugal but also worldwide. The patient was treated with surgical excision of the lesions and oral itraconazol without relapse.

Keywords: Alternaria; Dermatomycosis; Immunocompromised host; Liver transplantation; Phaeohyphomycosis.

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Figures

Fig. 1
Fig. 1
Cutaneous lesion from the left hand.
Fig. 2
Fig. 2
Cutaneous lesion from the right leg.
Fig. 3
Fig. 3
Microscopy of the culture from clinical isolate of the hand showed prominent growth of Alternaria infectoria.
Fig. 4
Fig. 4
Microscopy of the culture from clinical isolate of the leg showed prominent growth of Alternaria alternata.
See this image and copyright information in PMC

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