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Case Reports
. 2021 Nov 6:19:10-13.
doi: 10.1016/j.jdcr.2021.10.029. eCollection 2022 Jan.

Cutaneous dermatomycosis with concurrent Paecilomyces lilacinus and Candida guilliermondii in a patient with longstanding diabetes

Sharon Kam  1 , Alexander B Hicks  2 , Ban M Allos  3 , Alan S Boyd  2
Affiliations
Case Reports

Cutaneous dermatomycosis with concurrent Paecilomyces lilacinus and Candida guilliermondii in a patient with longstanding diabetes

Sharon Kam et al. JAAD Case Rep. .
No abstract available

Keywords: Candida guilliermondii; Paecilomyces lilacinus; cutaneous dermatomycosis.

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Conflict of interest statement

None disclosed.

Figures

Fig 1
Fig 1
Clinical images at 0 months (A-C) and 2 months (D-F) of posterior bilateral legs (A, D), right lateral leg (B, E), and left posterolateral leg (C, F) demonstrating hyperkeratotic papules and plaques among background erythema and stasis changes.
Fig 2
Fig 2
Dermal fibroplasia and mixed dermal inflammation without granulomatous changes (40× magnification, H&E stain).
Fig 3
Fig 3
Numerous fungal hyphae are visible within the stratum corneum at (A) 200× magnification and (B) 400× magnification (GMS stain).
See this image and copyright information in PMC

References

    1. Hall V.C., Goyal S., Davis M.D.P., Walsh J.S. Cutaneous hyalohyphomycosis caused by Paecilomyces lilacinus: report of three cases and review of the literature. Int J Dermatol. 2004;43(9):648–653. doi: 10.1111/j.1365-4632.2004.02175.x. - DOI - PubMed
    1. Booth L.V., Collins A.L., Lowes J.A., Radford M. Skin rash associated with Candida guilliermondii. Med Pediatr Oncol. 1988;16(4):295–296. doi: 10.1002/mpo.2950160417. - DOI - PubMed
    1. Motswaledi H.M., Mathekga K., Sein P.P., Nemutavhanani D.L. Paecilomyces lilacinus eumycetoma. Int J Dermatol. 2009;48(8):858–861. doi: 10.1111/j.1365-4632.2008.04047.x. - DOI - PubMed
    1. Rimawi R.H., Carter Y., Ware T., Christie J., Siraj D. Use of voriconazole for the treatment of Paecilomyces lilacinus cutaneous infections: case presentation and review of published literature. Mycopathologia. 2013;175(3-4):345–349. doi: 10.1007/s11046-012-9610-3. - DOI - PubMed
    1. Evans J.M., Wang A.L., Elewski B.E. Successful treatment of Paecilomyces lilacinus onychomycosis with efinaconazole and tavaborole. Skin Appendage Disord. 2016;1(4):169–171. doi: 10.1159/000443773. - DOI - PMC - PubMed

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