Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Nov 7;13(11):e19335.
doi: 10.7759/cureus.19335. eCollection 2021 Nov.

Ruxolitinib-Associated Phaeohyphomycosis: A Case Report

Affiliations
Case Reports

Ruxolitinib-Associated Phaeohyphomycosis: A Case Report

Rory Marples et al. Cureus. .

Abstract

We present the findings of a rare fungal infection phaeohyphomycosis caused by Pleurostoma richardsiae (P. richardsiae) in an immunocompromised 82-year-old male with myelodysplastic syndrome on treatment with the Janus kinase inhibitor ruxolitinib. Hematologists, infectious disease physicians, and surgeons should consider a fungal etiology in cases of cellulitis refractory to standard treatments in those patients with underlying immune dysfunction and/or in those receiving therapy with ruxolitinib or similar agents.

Keywords: cellulitis; fungal infection; infectious disease; janus kinase inhibitor; myelodysplasia; ruxolitinib.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Clinical photograph of patient’s leg prior to surgery.
Figure 2
Figure 2. Axial CT scan of the right tibia + fibula demonstrating an anterior tibial collection (red arrow).

References

    1. Ahmed AA, De Hoog GS, van de Sande WJ. Clin Microbiol. Wiley; 2015. Fungi causing eumycotic mycetoma.
    1. Epidemiology, clinical manifestations, and therapy of infections caused by dematiaceous fungi. Brandt ME, Warnock DW. J Chemother. 2003;15:36–47. - PubMed
    1. Risk factors for infections in myelofibrosis: role of disease status and treatment. A multicenter study of 507 patients. Polverelli N, Breccia M, Benevolo G, et al. Am J Hematol. 2017;92:37–41. - PubMed
    1. Phaeoacremonium parasiticum subcutaneous infection in a kidney-transplanted patient successfully treated by surgery. Farina C, Gotti E, Mouniée D, Boiron P, Goglio A. Transpl Infect Dis. 2007;9:253–255. - PubMed
    1. Phaeohyphomycosis due to Pleurostomophora richardsiae: an uncommon cutaneous fungal infection. Cuenca-Barrales C, De Salazar A, Chueca N, Saenz-Guirado S, Ruiz-Villaverde R. J Eur Acad Dermatol Venereol. 2018;32:0. - PubMed

Publication types

LinkOut - more resources