title: Eumycotic mycetoma caused by Cladophialophora bantiana in a patient with systemic lupus erythematosus.
abstract: We present the case of a 31-year-old patient who developed widespread mycetoma across her back and shoulders caused by Cladophialophora bantiana 16 years after injury to those sites from tornado debris. The patient also had a history of systemic lupus erythematosus treated with systemic steroids. Systemic antifungal treatment with fluconazole and itraconazole proved ineffective, and surgical debridement was required. Nine other culture-confirmed cases of cutaneous infection with this organism have been reported worldwide. This type of infection can occur in immunocompromised or immunocompetent patients, and may respond to systemic antifungals or surgery.
authors.affiliation: Department of Dermatology at UT Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Kelly D
authors.initials: KD
authors.lastname: Werlinger
authors.forename: Angela
authors.initials: A
authors.lastname: Yen Moore
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D002963:Cladosporium; D004190:Disasters; D005260:Female; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000188:drug therapy / Q000276:immunology; D008271:Mycetoma / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D012867:Skin / Q000293:injuries* / Q000382:microbiology*; D013256:Steroids / Q000009:adverse effects; D013997:Time Factors
chemical_list: D000935:Antifungal Agents; D013256:Steroids