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Volume 47, Number 6, December 2015

Subcutaneous phaeohyphomycosis caused by Exophiala jeanselmei 


Yu-Chuan Chen, Yu-Chieh Su, Chen-Chi Tsai, Ning-Sheng Lai, Kou-Sheng Fan, Keng-Chang Liu


Received: March 4, 2012    Revised: May 1, 2012    Accepted: July 7, 2012   

 

Corresponding author:

Corresponding author. Department of Orthopedics, Buddhist
Dalin Tzu Chi General Hospital, 2, Min Sheng Road, Chiayi, Taiwan.
E-mail address: antibody_1@msn.com (K.-C. Liu). 



 

Background and purpose: 

Exophiala jeanselmei, a saprobe in the environment, is an opportunistic pathogen. We present a rare case of subcutaneous phaeohyphomycosis caused by E jeanselmei in a man aged 66 years with a 3-month history of a tender swelling on the dorsal area of the left middle finger. Purulent fluid was aspirated from the area, and the culture yielded black colonies composed of conidiophores, phialides, and yeast cells. After sequencing of the rDNA ITS1-5.8S-ITS2 gene, the pathogen was confirmed as E jeanselmei. The patient was cured by surgical excision without any antifungal agents. 



 

Key words:

Exophiala jeanselmei, Immunocompetent, Phaeohyphomycosis