Majocchi's granuloma after antithymocyte globulin therapy in a liver transplant patient.
Majocchi's granuloma (MG) is an atypical and uncommon presentation of dermatophytic infection involving the invasion of dermal and subcutaneous tissue by fungal organisms. It usually begins as a suppurative folliculitis and may culminate in the development of widespread granulomas. Immunosuppressed patients are at increased risk, especially those with T-cell deficiencies. We describe a case of inguinal MG in a liver transplant patient who had received antithymocyte globulin for acute rejection.
Gega
A
A
Department of Medicine, University of Florida School of Medicine, Gainesville, Florida 32610, USA. arjet.gega@yale.edu
Ketsela
G
G
Glavin
F L
FL
Soldevilla-Pico
C
C
Schain
D
D
D000935:Antifungal Agents / Q000627:therapeutic use; D000961:Antilymphocyte Serum / Q000009:adverse effects* / Q000627:therapeutic use; D006084:Graft Rejection / Q000188:drug therapy*; D006099:Granuloma / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006119:Groin; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D009281:Naphthalenes / Q000627:therapeutic use; D009894:Opportunistic Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D000077291:Terbinafine; D014005:Tinea / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014249:Trichophyton
D000935:Antifungal Agents; D000961:Antilymphocyte Serum; D009281:Naphthalenes; D000077291:Terbinafine