Subcutaneous pheohyphomycotic cyst from a traumatic injury: reactivation after thirty-five years.
Pheohyphomycoses are an uncommon diverse group of dematiaceous fungi present in soil and plant material and are potential pathogens. We report the case of a 45-year-old white Hispanic woman who presented with a hard round cyst on the dorsum of her right foot caused by a traumatic implantation of a piece of wood thirty-five years earlier. The cyst was surgically excised and the patient empirically treated with a two-month course of oral itraconazole. To our knowledge, this represents a case of the longest-lived asymptomatic pheohyphomycotic cyst in an immunocompetent person ever reported. The clinical manifestations, treatment options, and disease course are reviewed.
Bellman
B
B
Department of Dermatology and Cutaneous Surgery, University of Miami School of Medicine, Coral Gables, Florida, USA.
Brandt
F S
FS
Poulos
E G
EG
D003560:Cysts / Q000382:microbiology* / Q000601:surgery; D003881:Dermatomycoses / Q000473:pathology* / Q000601:surgery; D005260:Female; D005533:Foot Dermatoses / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D003904:Mitosporic Fungi / Q000302:isolation & purification*; D013997:Time Factors; D014950:Wounds, Penetrating / Q000382:microbiology*