title: Subcutaneous granuloma caused by Phialophora richardsiae: case report and review of the literature.
abstract: 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.
authors.forename: E
authors.initials: E
authors.lastname: Guého
authors.forename: A
authors.initials: A
authors.lastname: Bonnefoy
authors.forename: J
authors.initials: J
authors.lastname: Luboinski
authors.forename: J C
authors.initials: JC
authors.lastname: Petit
authors.forename: G S
authors.initials: GS
authors.lastname: de Hoog
mesh_terms: D003881:Dermatomycoses / Q000209:etiology*; D006099:Granuloma / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010676:Phialophora / Q000302:isolation & purification*