Cutaneous protothecosis: report of a third Brazilian case.
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.
Zaitz
Clarisse
C
Division of Dermatology, Department of Medicine, Santa Casa Medical School, São Paulo, Brazil.
Godoy
Andrea Miranda
AM
Colucci
Fabiana Márcia
FM
de Sousa
Valéria Maria
VM
Ruiz
Ligia Rangel B
LR
Masada
Andréa S
AS
Nobre
Márcia Valéria
MV
Muller
Helena
H
Muramatu
Laura Hitomi
LH
Arrigada
Giovanna Letícia Hernandez
GL
Heins-Vaccari
Elisabeth Maria
EM
Martins
José Eduardo Costa
JE
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
D000935:Antifungal Agents; D017964:Itraconazole