Korean J Dermatol.  1996 Jun;34(3):489-494.

A Case of Primary Subcutaneous Phaeohyphomycosis Caused by Drechslera Dematioidea

• Oh SH
• Suh SB
• Kim SH
• Choi SK
• Lee HJ

Abstract

Phaeohyphomycosis refers to subcutaneous and systemic fungal infections characterized by dematiacious septate mycerial elements in tissue, We are discribing the first report of subcutaneous phaeohyphomycosis by Drechslera dematioidea in a 9-year-old boy who presented a slow-growing 4x5.5cm erythematous plaque with somewhat verrucous and eczematous lesion on the dorsal aspect of his right foot after receiving a burn by boiling liquid at 2 years of age. Biopsy of the lesion revealed granulomatous inflammation, brownish spores in chain and planate-deviding sclerotic bodies in the epidermis and upper dermis. Findings by microscopic examination and consecutive cultures of scales and biopsy specimen were consistent with Drechslera dematioidea. The lesion was successfully treated with itraconazole.

Keyword

Subcutaneous phaeohyphomycosis; Drechslera dematioidea

MeSH Terms

Biopsy
Burns
Child
Dermis
Epidermis
Foot
Humans
Inflammation
Itraconazole
Male
Phaeohyphomycosis*
Spores
Weights and Measures
Itraconazole