Case report: phaeohyphomycosis due to Curvularia lunata involving skin and subcutaneous tissue after an explosion at a chemical plant.
Cases of phaeohyphomycosis due to dematiaceous fungi have been reported in increasing numbers and diversity. The optimal roles of antifungal chemotherapy and surgical debridement in the management of these infections have not been determined. A case of acute cutaneous and subcutaneous phaeohyphomycosis due to Curvularia lunata after an explosion at a chemical plant is reported, in which the organisms may have been inoculated into the tissues by the force of the blast. No organisms were found by histopathologic examination or culture of excisional biopsy specimens taken 10 days after initiation of therapy with intravenous amphotericin B; the antifungal therapy may have eradicated the infection.
Department of Internal Medicine, Medical University of South Carolina, Charleston 29425.
T J
TJ
Grieshop
D
D
Yarbrough
W E
WE
Farrar
D000062:Accidents, Occupational; D000328:Adult; D002056:Burns / Q000150:complications; D003881:Dermatomycoses / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D005107:Explosions; D006801:Humans; D008297:Male; D003904:Mitosporic Fungi; D012988:Soil Microbiology