Cutaneous Bipolaris infection in a neutropenic patient with acute lymphoblastic leukemia.
Bipolaris spicifera is a darkly pigmented (dematiaceous) fungus that uncommonly causes infections in humans. There are few cases of reported cutaneous Bipolaris infection in the literature. We report a case of a five-year-old boy with B-precursor-cell acute lymphoblastic leukemia who developed a cutaneous fungal infection on his left cheek Histopathological and microbiological findings identified the fungus as Bipolaris spicifera. Surgical excision and systemic antifungal therapy are the mainstay of treatment.
Bilu
Donna
D
Department of Dermatology, Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA.
Movahedi-Lankarani
Saeid
S
Kazin
Rebecca A
RA
Shields
Christine
C
Moresi
Margaret
M
D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D001203:Ascomycota / Q000302:isolation & purification*; D002610:Cheek; D002675:Child, Preschool; D003881:Dermatomycoses / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008297:Male; D009503:Neutropenia / Q000209:etiology*; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications*
D000935:Antifungal Agents; D000666:Amphotericin B