Subcutaneous phaeohyphomycosis caused by Cyphellophora pluriseptata.
We present the first case of subcutaneous phaeohyphomycosis caused by Cyphellophora pluriseptata, a fungus described in 1986 by DeVries. The patient was apparently healthy and presented an extensive infiltration of the left ear simulating borderline leprosy. Microscopically a heavy infiltration of lymphocytes admixed with multinucleated giant cells in the dermis was observed in the absence of abscesses. The histopathological diagnosis was achieved through the finding of dematiaceous hyphae. Based on a review of the specific literature the authors discuss the unusual aspects of this case and emphasize the importance of isolating the etiologic agent in cases of phaeohyphomycosis.
Bittencourt
Achiléa L
AL
Department of Pathology, Hospital Pr. Edgard Santos, Serviço de Anatomia Patológica, Rua Augusto Viana s/n, Canela CEP: 40110-160 Salvador-Bahia, Brazil. achilea@uol.com.br
Machado
Paulo R L
PR
Araujo
Maria G S
MG
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D003881:Dermatomycoses / Q000188:drug therapy / Q000382:microbiology*; D004427:Ear Diseases / Q000188:drug therapy / Q000382:microbiology; D004431:Ear, External; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008297:Male; D003904:Mitosporic Fungi / Q000302:isolation & purification*
D000935:Antifungal Agents; D017964:Itraconazole