Korean J Med Mycol.  2007 Jun;12(2):70-74.

A Case of Cutaneous Protothecosis

Affiliations
  • 1Department of Dermatology, College of Medicine, Eulji University, Korea. ssjmdderma@eulji.or.kr
  • 2Department of Laboratory Medicine, College of Medicine, Eulji University, Korea.

Abstract

Cutaneous protothecosis is a rare skin infection, caused by the genus prototheca, especially Prototheca wickerhamii. A 73-year-old woman had a painful, ulcerative patch and oozing plaque on left wrist and dorsum of hand for 2 months. Biopsy specimen revealed thick walled morula-like sporangia in the dermis. P. wickerhamii was isolated in the culture. Oral itraconazole therapy for 8 weeks is not satisfactory. New skin lesion is formed. After oral fluconazole therapy, patient's skin lesion is improved.

Keyword

Cutaneous protothecosis; Prototheca wickerhamii; Fluconazole

MeSH Terms

Aged
Biopsy
Dermis
Female
Fluconazole
Hand
Humans
Itraconazole
Prototheca
Skin
Sporangia
Ulcer
Wrist
Fluconazole
Itraconazole
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