Korean J Dermatol.  2005 Jan;43(1):124-127.

A Case of Subcutaneous Phaeohyphomycosis Caused by Exophiala jeanselmei

Affiliations
  • 1Department of Dermatology, College of Medicine, Dongguk University, Kyongju, Korea. mksuhmd@hanmail.net
  • 2Department of Laboratory Medicine, College of Medicine, Dongguk University, Kyongju, Korea.
  • 3Department of Pathology, College of Medicine, Dongguk University, Kyongju, Korea.
  • 4White Skin Clinic, Sacheon, Korea.

Abstract

We report a case of subcutaneous phaeohyphomycosis caused by Exophiala (E.) jeanselmei in a 75-year-old female, who showed subcutaneous abscesses on the both forearms for 8 months. Histopathologically, suppurative granulomatous inflammation and short hyphae & spores were observed. Fungal culture grew out the typical black-gray velvety colonies of E. jeanselmei after 3 weeks. The isolate grew well at 25degrees C, but very poorly at 37degrees C. No growth could be observed at 40degrees C. We confirmed E. jeanselmei by colony & microscopic morphology and temperature tolerance test. The patient had been treated with fluconazole for 3 months.

Keyword

Phaeohyphomycosis; Exophiala jeanselmei

MeSH Terms

Abscess
Aged
Exophiala*
Female
Fluconazole
Forearm
Humans
Hyphae
Inflammation
Phaeohyphomycosis*
Spores
Fluconazole
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