Résumé
Abstract We report a rare case of subcutaneous phaeohyphomycosis caused by Cladophialophora bantiana in an immunocompetent patient in Amazonas, Brazil. This dematiaceous fungus has been mainly associated with life-threatening infections affecting the central nervous systems of immunosuppressed patients. We present the clinical, laboratory, and therapeutic aspects, and in vitro susceptibility test results for different antifungal drugs. A brief review of the cases reported in the literature over the past 20 years has also been discussed. According to the literature review, the present case is the first report of subcutaneous phaeohyphomycosis due to C. bantiana in an immunocompetent patient in Latin America.
Sujets)
Humains , Mâle , Ascomycota/isolement et purification , Phaeohyphomycose , Phaeohyphomycose/diagnostic , Biopsie , Brésil , Sujet immunodéprimé , Mycoses cutanées/traitement médicamenteux , Deuteromycota/isolement et purification , Phaeohyphomycose/immunologie , Phaeohyphomycose/traitement médicamenteux , Adulte d'âge moyen , Antifongiques/classification , Antifongiques/usage thérapeutiqueRésumé
Abstract Phaeohyphomycosis is an infection caused by a filamentous fungus that contains pigment melanin in its cell wall. We report two cases caused by Exophiala sp. emphasizing the clinical variability of the disease, as well as diagnostic and therapeutic difficulties of this opportunistic infection in immunosuppressed patients (kidney transplant).