title: Cutaneous protothecosis: report of a third Brazilian case.
abstract: The present report describes a case of cutaneous protothecosis caused by Prototheca wickerhamii in a nonimmunocompromised Brazilian female. Dermatological examination revealed a 15-cm diffusely infiltrated eczema-like plaque recovered with many pustule-like lesions on the right forearm. We emphasize the mycological and pathological aspects of this infection that can lead to misdiagnosis. The patient was successfully treated with itraconazole.
authors.affiliation: Division of Dermatology, Department of Medicine, Santa Casa Medical School, São Paulo, Brazil.
authors.forename: Clarisse
authors.initials: C
authors.lastname: Zaitz
authors.forename: Andrea Miranda
authors.initials: AM
authors.lastname: Godoy
authors.forename: Fabiana Márcia
authors.initials: FM
authors.lastname: Colucci
authors.forename: Valéria Maria
authors.initials: VM
authors.lastname: de Sousa
authors.forename: Ligia Rangel B
authors.initials: LR
authors.lastname: Ruiz
authors.forename: Andréa S
authors.initials: AS
authors.lastname: Masada
authors.forename: Márcia Valéria
authors.initials: MV
authors.lastname: Nobre
authors.forename: Helena
authors.initials: H
authors.lastname: Muller
authors.forename: Laura Hitomi
authors.initials: LH
authors.lastname: Muramatu
authors.forename: Giovanna Letícia Hernandez
authors.initials: GL
authors.lastname: Arrigada
authors.forename: Elisabeth Maria
authors.initials: EM
authors.lastname: Heins-Vaccari
authors.forename: José Eduardo Costa
authors.initials: JE
authors.lastname: Martins
mesh_terms: D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D005260:Female; D005542:Forearm; D006801:Humans; D007121:Immunocompetence; D007239:Infections / Q000175:diagnosis* / Q000188:drug therapy; D017964:Itraconazole / Q000627:therapeutic use; D011525:Prototheca / Q000302:isolation & purification*; D012874:Skin Diseases, Infectious / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole