Cutaneous alternariosis in a cardiac transplant recipient.
A 55-year-old male cardiac transplant recipient presented with cutaneous nodules on the limbs caused by Alternaria alternata. Oral fluconazole 200 mg daily for 3 weeks was ineffective. Itraconazole 100 mg oral daily was ceased when hyperglycaemia developed. Individual lesions were successfully treated with either curettage and cautery or double freeze-thaw cryotherapy. Alternaria spp. are ubiquitous fungal saprophytes which may cause cutaneous infections particularly in immunocompromised patients.
Departments of Dermatology, Addenbrooke's Hospital, Cambridge, United Kingdom. tkgilmour@ozemail.com.au
T K
TK
Gilmour
E
E
Rytina
P B
PB
O'Connell
J C
JC
Sterling
D000528:Alternaria; D001132:Arm; D003881:Dermatomycoses / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D016027:Heart Transplantation; D006801:Humans; D016867:Immunocompromised Host; D007866:Leg; D008297:Male; D008875:Middle Aged; D009894:Opportunistic Infections / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery