title: Pseudotumoral presentation of fungating mycetoma caused by Phaeoacremonium fuscum in a renal transplant patient.
abstract: Eumycetoma is an unusual infection in immunocompromised patients outside the tropics, caused by a variety of fungal pathogens. We describe the case of a 51-year-old renal transplant recipient who presented with a large pseudotumoral foot lesion necessitating complete surgical excision of the lesion. Cultures and molecular diagnosis confirmed Phaeoacremonium fuscum. This is the first case, to our knowledge, of fungating mycetoma caused by this fungal species in a solid organ transplant recipient.
authors.affiliation: Department of Vascular Access and Renal Transplantation, University Hospitals Birmingham, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
authors.forename: D
authors.initials: D
authors.lastname: McGrogan
authors.affiliation: Department of Clinical Microbiology, University Hospitals Birmingham, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
authors.forename: M D
authors.identifier: http://orcid.org/0000-0002-6756-0550
authors.initials: MD
authors.lastname: David
authors.affiliation: Department of Cellular Pathology, University Hospitals Birmingham, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
authors.forename: C
authors.initials: C
authors.lastname: Roberts
authors.affiliation: Public Health England National Mycology Reference Laboratory, Bristol, UK.
authors.forename: A M
authors.initials: AM
authors.lastname: Borman
authors.affiliation: Department of Vascular Access and Renal Transplantation, University Hospitals Birmingham, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
authors.forename: J
authors.initials: J
authors.lastname: Nath
authors.affiliation: Department of Vascular Access and Renal Transplantation, University Hospitals Birmingham, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
authors.forename: N G
authors.initials: NG
authors.lastname: Inston
authors.affiliation: Department of Vascular Access and Renal Transplantation, University Hospitals Birmingham, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
authors.forename: S
authors.initials: S
authors.lastname: Mellor
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D001203:Ascomycota / Q000302:isolation & purification; D005534:Foot Diseases / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000009:adverse effects / Q000627:therapeutic use; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D008271:Mycetoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery
chemical_list: D000935:Antifungal Agents; D007166:Immunosuppressive Agents
keywords: Madura foot; Phaeoacremonium; renal transplant