title: Cutaneous alternariosis in a renal transplant recipient.
abstract: Alternariosis is a fungal infection that is usually described in immunocompromised patients. We report a case of cutaneous alternariosis in a renal transplant recipient caused by Alternaria tenuissima. The diagnosis was supported by histopathologic (ie, yeastlike cells, filamentous structures) and mycologic findings from a cutaneous biopsy. Cutaneous lesions regressed 1 month following a decrease in the dosage of immunosuppressive therapy. The patient also was treated with intravenous amphotericin B followed by oral fluconazole without improvement. Cryotherapy remarkably accelerated healing of the lesions.
authors.affiliation: Department of Parasitology-Mycology, Fattouma Bourguiba University Hospital, St 1st June St, 5000 Monastir, Tunisia. nawel.aguir@laposte.net.
authors.forename: Nawel
authors.initials: N
authors.lastname: Essabbah
authors.forename: Imen
authors.initials: I
authors.lastname: Gorsane
authors.forename: Monia
authors.initials: M
authors.lastname: Youssef
authors.forename: Rym
authors.initials: R
authors.lastname: Hadhri
authors.forename: Sabra
authors.initials: S
authors.lastname: Aloui
authors.forename: Mohamed
authors.initials: M
authors.lastname: Gorcii
authors.forename: Hichem Bel Hadj
authors.initials: HB
authors.lastname: Ali
authors.forename: Zeineb
authors.initials: Z
authors.lastname: Chemli
authors.forename: Hammouda
authors.initials: H
authors.lastname: Babba
authors.forename: Mezri
authors.initials: M
authors.lastname: El May
authors.forename: Jameleddine
authors.initials: J
authors.lastname: Zili
authors.forename: Abdelfatteh
authors.initials: A
authors.lastname: Zakhama
authors.forename: Habib
authors.initials: H
authors.lastname: Skhiri
mesh_terms: D000328:Adult; D000528:Alternaria / Q000302:isolation & purification*; D060487:Alternariosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D000935:Antifungal Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects; D016030:Kidney Transplantation / Q000009:adverse effects*; D009894:Opportunistic Infections / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000935:Antifungal Agents; D007166:Immunosuppressive Agents