Exophiala oligosperma causing olecranon bursitis.
A 62-year-old male with a history of Wegener's granulomatosis and immunosuppressive therapy presented with chronic olecranon bursitis. A black velvety mould with brown septate hyphae and tapered annellides was isolated from a left elbow bursa aspirate and was identified as an Exophiala species. Internal transcribed sequence rRNA sequencing showed the isolate to be identical to Exophiala oligosperma. The patient was successfully treated with aspiration and intrabursal amphotericin B.
Bossler
A D
AD
Department of Pathology, University of Iowa Roy J.Lucille A. Carver College of Medicine, Iowa City, Iowa 52240, USA.
Richter
S S
SS
Chavez
A J
AJ
Vogelgesang
S A
SA
Sutton
D A
DA
Grooters
A M
AM
Rinaldi
M G
MG
de Hoog
G S
GS
Pfaller
M A
MA
D002061:Bursa, Synovial / Q000382:microbiology; D002062:Bursitis / Q000382:microbiology*; D002908:Chronic Disease; D021903:DNA, Ribosomal Spacer / Q000032:analysis; D004551:Elbow Joint; D005093:Exophiala / Q000145:classification / Q000235:genetics / Q000302:isolation & purification*; D020459:Genes, rRNA; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008875:Middle Aged; D008969:Molecular Sequence Data; D009181:Mycoses / Q000382:microbiology; D017422:Sequence Analysis, DNA; D014457:Ulna
D021903:DNA, Ribosomal Spacer