Ulcerated plaque under a ruby ring in an immunosuppressed patient.
We report a primary inoculation fungal infection in a 76-year-old man with acute myeloid leukemia. The patient presented with a painful red plaque located where he routinely wore a ruby ring. Histopathology revealed multiple branching septate hyphae. Cultures confirmed Fusarium and Candida parapsilosis infection. A short discussion of these organisms follows.
Geddes
Elizabeth R C
ER
The University of Texas Medical School at Houston, Houston, Texas, USA. ercgeddes@gmail.com
Polder
Kristel
K
Cutlan
Jonathan E
JE
Torres-Cabala
Carlos A
CA
Hymes
Sharon R
SR
D000227:Adenine Nucleotides / Q000627:therapeutic use; D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use; D001087:Arabinonucleosides / Q000627:therapeutic use; D002175:Candida / Q000302:isolation & purification*; D002179:Candidiasis, Cutaneous / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D000077866:Clofarabine; D003561:Cytarabine / Q000627:therapeutic use; D003879:Dermatologic Agents / Q000627:therapeutic use; D003881:Dermatomycoses / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D005670:Fusarium / Q000302:isolation & purification*; D006801:Humans; D016867:Immunocompromised Host; D017964:Itraconazole / Q000627:therapeutic use; D055498:Jewelry / Q000009:adverse effects*; D015470:Leukemia, Myeloid, Acute / Q000188:drug therapy; D008297:Male; D011743:Pyrimidines / Q000627:therapeutic use; D012883:Skin Ulcer / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D016896:Treatment Outcome; D014230:Triazoles / Q000627:therapeutic use; D065819:Voriconazole
D000227:Adenine Nucleotides; D000970:Antineoplastic Agents; D001087:Arabinonucleosides; D003879:Dermatologic Agents; D011743:Pyrimidines; D014230:Triazoles; D003561:Cytarabine; D017964:Itraconazole; C101425:posaconazole; D000077866:Clofarabine; D065819:Voriconazole