title: Pheohyphomycosis caused by Exophiala spinifera: a rare occurrence.
abstract: A 10-year-old immunocompetent boy presented with multiple, verrucous, disseminated pheohyphomycotic lesions caused by Exophiala spinifera. The patient was not responsive to combination antifungal therapy (itraconazole, terbinafine, fluconazole) and cryotherapy. As antifungal susceptibility is known to be variable for Exophiala spinifera, in vitro sensitivity testing is recommended before medical treatment. This article reviews, in brief, all cases documented so far in the English literature.
authors.affiliation: Departments of Dermatology and STD, Microbiology, and Pathology, University College of Medical Sciences & GTB Hospital, Delhi, India.
authors.forename: Archana
authors.initials: A
authors.lastname: Singal
authors.forename: Deepika
authors.initials: D
authors.lastname: Pandhi
authors.forename: Sambit N
authors.initials: SN
authors.lastname: Bhattacharya
authors.forename: Shukla
authors.initials: S
authors.lastname: Das
authors.forename: Sarla
authors.initials: S
authors.lastname: Aggarwal
authors.forename: Kiran
authors.initials: K
authors.lastname: Mishra
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D002648:Child; D003881:Dermatomycoses / Q000382:microbiology* / Q000473:pathology / Q000628:therapy; D005093:Exophiala / Q000302:isolation & purification*; D006801:Humans; D007121:Immunocompetence; D008297:Male; D008826:Microbial Sensitivity Tests; D012867:Skin / Q000382:microbiology*; D017211:Treatment Failure
chemical_list: D000935:Antifungal Agents