Subcutaneous hyalohyphomycosis caused by Acremonium recifei: case report

Authors

  • Clarisse Zaitz Santa Casa of São Paulo; Faculty of Medical Sciences; Department of Medicine; Discipline of Dermatology
  • Edward Porto University of São Paulo; Faculty of Medicine; Institute of Tropical Medicine of São Paulo; Laboratory of Medical Mycology
  • Elisabeth Maria Heins-Vaccari University of São Paulo; Faculty of Medicine; Institute of Tropical Medicine of São Paulo; Laboratory of Medical Mycology
  • Aya Sadahiro University of São Paulo; Faculty of Medicine; Institute of Tropical Medicine of São Paulo; Laboratory of Medical Mycology
  • Ligia Rangel Barbosa Ruiz Santa Casa of São Paulo; Faculty of Medical Sciences; Department of Medicine; Discipline of Dermatology
  • Helena Müller Santa Casa of São Paulo; Faculty of Medical Sciences; Department of Medicine; Discipline of Dermatology
  • Carlos da Silva Lacaz University of São Paulo; Faculty of Medicine; Institute of Tropical Medicine of São Paulo; Laboratory of Medical Mycology

Keywords:

Subcutaneous hyalohyphomycosis, Acremonium recifei, Itraconazol

Abstract

We present a case of subcutaneous hyalohyphomycosis due to Acremonium recifei, a species whose habitat is probably the soil, first identified in 1934 by Arêa Leão and Lobo in a case of podal eumycetoma with white-yellowish grains and initially named Cephalosporium recifei. A white immunocompetent female patient from the state of Bahia, Brazil, with a history of traumatic injury to the right hand is reported. The lesion was painless, with edema, inflammation and the presence of fistulae. Seropurulent secretion with the absence of grains was present. Histopathological examination of material stained with hematoxylin-eosin showed hyaline septate hyphae. A culture was positive for Acremonium recifei. Treatment with itraconazole, 200 mg/day, for two months led to a favorable course and cure of the process. We report for the first time in the literature a case of subcutaneous hyalohyphomycosis due to Acremonium recifei in a immunocompetent woman. Treatment with itraconazole 200 mg/day, for two months, resulted in cure.

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Published

1995-06-01

Issue

Section

Case Report

How to Cite

Subcutaneous hyalohyphomycosis caused by Acremonium recifei: case report . (1995). Revista Do Instituto De Medicina Tropical De São Paulo, 37(3), 267-270. https://www.revistas.usp.br/rimtsp/article/view/29273