Subcutaneous granuloma caused by Phialophora richardsiae: case report and review of the literature.
A phaeomycotic cyst in a 47-year-old man, caused by Phialophora richardsiae, was treated successfully by excision. A critical review of the literature indicates that the pathological course of P. richardsiae infections usually follows a similar pattern to that of the present case, viz. generation of a well-defined and limited nodule following traumatic subcutaneous introduction of the fungus. The nodule typically accumulates a viscous yellow fluid. The infection remains localized, often being encapsulated by a fibrous layer; adenopathy is not observed. Concomitant bacterial infections are also common; in the present case Pseudomonas stutzeri was identified. Neither bacterial nor fungal infection recurred after surgery.
Guého
E
E
Bonnefoy
A
A
Luboinski
J
J
Petit
J C
JC
de Hoog
G S
GS
D003881:Dermatomycoses / Q000209:etiology*; D006099:Granuloma / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010676:Phialophora / Q000302:isolation & purification*