title: Concurrent double infections of the skin: phaeohyphomycosis and nocardiosis in a patient with idiopathic thrombocytopenic purpura.
abstract: We describe a case of concurrent double infection with phaeohyphomycosis and lymphocutaneous nocardiosis in an immunocompromised host. The episode occurred almost simultaneously with an incident of insect bites. Exophiala spinifera was isolated from lesions on the left arm and Nocardia asteroides was isolated from lesions on the right hand. Clinical resolution occurred within 5 months after initiation of antimicrobial treatment with oral itraconazole and minocycline. We believe that this case represents a novel episode of previously unreported concurrent infections with phaeohyphomycosis and lymphocutaneous nocardiosis in human beings.
authors.affiliation: Department of Dermatology, Hiroshima Red Cross Hospital, Hiroshima, Japan. mtakahara@dermatol.med.kyushu-u.ac.jp
authors.forename: Masakazu
authors.initials: M
authors.lastname: Takahara
authors.forename: Shinichi
authors.initials: S
authors.lastname: Imafuku
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Matsuda
authors.forename: Takeshi
authors.initials: T
authors.lastname: Uenotsuchi
authors.forename: Tadahiko
authors.initials: T
authors.lastname: Matsumoto
authors.forename: Arvind A
authors.initials: AA
authors.lastname: Padhye
authors.forename: Masutaka
authors.initials: M
authors.lastname: Furue
mesh_terms: D000369:Aged, 80 and over; D015897:Comorbidity; D003881:Dermatomycoses / Q000453:epidemiology*; D005093:Exophiala; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D007299:Insect Bites and Stings; D009617:Nocardia Infections / Q000453:epidemiology* / Q000473:pathology; D009616:Nocardia asteroides; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000453:epidemiology*; D017192:Skin Diseases, Bacterial / Q000453:epidemiology* / Q000473:pathology