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. 2017 Feb 5:15:21-24.
doi: 10.1016/j.mmcr.2017.02.001. eCollection 2017 Mar.

A rare fungal infection: Phaehyphomycosis due to Veronaea botryosa and review of literature

Anne Welfringer  1 , Valérie Vuong  1 , Nicolas Argy  2 , Christian Chochillon  2 , Lydia Deschamps  3 , Guillaume Rollin  4 , Stanislas Harent  4 , Véronique Joly  4 , William Vindrios  4 , Vincent Descamps  1
Affiliations

A rare fungal infection: Phaehyphomycosis due to Veronaea botryosa and review of literature

Anne Welfringer et al. Med Mycol Case Rep. .

Abstract

We report a rare case of phaehyphomycosis in a 71-year-old heart transplant recipient Togo native patient. Four months after the transplant, he presented painless nodules on the right heel with superficial ulceration. The polyphasic identification uncovered a rare cause of phaehyphomycose: V. botryosa. The treatment combined surgical excision of the lesions and anti-fungal therapy with posaconazole. We discussed eleven reported cases in literature since 1990.

Keywords: Heart transplant recipient; Immunosuppression; Phaeohyphomycosis; V. botryosa.

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Figures

Fig. 1.
Fig. 1
painless nodules, with superficial ulceration (1A and 1B). (1C and 1D) original magnification ×400 Histological analysis of skin biopsy demonstrated multinucleated giant cells containing pigmented spores, (hematoxylin eosin stain) (1C) Grocott staining showed numerous spores (1D).
Fig. 2.
Fig. 2
Culture on Sabouraud chloramphenicol at 27 °C (2A). Micromorphology of conidiophores, conidiogenous cells and conidia of V. botryose (2B).
See this image and copyright information in PMC

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