title: [Subcutaneous phaeohyphomycosis caused by Phaeoacremonium parasiticum].
abstract: BACKGROUND
  From the available literature, it is demonstrated that dematiaceous fungal infections mostly affect immunosuppressed patients. These infections can occur in different forms, from subcutaneous infection to disseminated forms that may compromise the life of the patient. In many cases the infection is related to the inoculation of the microorganism by diverse traumatic mechanisms, which determines the course of the infection to be slower in some cases.
  
  
  METHODS
  We describe two cases of phaeohyphomycosis caused by Phaeoacremonium parasiticum: A cancer patient with subcutaneous lesions affecting the left hand and forearm, and a patient who presented with subcutaneous abscesses in the left leg.
  
  
  CONCLUSIONS
  These cases confirm the presence of this type of fungus in Spain. In the second case a combination of amphotericin B lipid complex and posaconazole, together with several surgical resections, were necessary in order to overcome the infection.
authors: Servicio de Microbiología, Hospital Sant Joan de Déu, Barcelona, España. Electronic address: josealayeto@gmail.com.
authors: Jose
authors: J
authors: Alayeto Ortega
authors: Servicio de Cirugía Ortopédica y Traumatología, Hospital del Mar, Barcelona, España.
authors: Albert
authors: A
authors: Alier Fabregó
authors: Servicio de Cirugía Ortopédica y Traumatología, Hospital del Mar, Barcelona, España.
authors: Lluis
authors: L
authors: Puig Verdie
authors: Servicio de Enfermedades Infecciosas, Hospital del Mar, Barcelona, España.
authors: Maria Luisa
authors: ML
authors: Sorli Redo
authors: Servicio de Enfermedades Infecciosas, Hospital del Mar, Barcelona, España.
authors: Juan Pablo
authors: JP
authors: Horcajada Gallego
authors: Laboratori de Referència de Catalunya S.A., El Prat de Llobregat, Barcelona, España.
authors: M Eugenia
authors: ME
authors: Portillo Bordonabe
mesh_terms: D000038:Abscess / Q000382:microbiology*; D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D001203:Ascomycota / Q000302:isolation & purification*; D002481:Cellulitis / Q000209:etiology; D003881:Dermatomycoses / Q000382:microbiology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D017809:Fatal Outcome; D006229:Hand Dermatoses / Q000382:microbiology; D006801:Humans; D016867:Immunocompromised Host; D016030:Kidney Transplantation; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000150:complications; D009894:Opportunistic Infections / Q000382:microbiology*
chemical_list: D000935:Antifungal Agents
keywords: Feohifomicosis subcutánea; Kidney transplant; Phaeoacremonium parasiticum; Subcutaneous phaeohyphomycosis; Trasplante renal