01126nas a2200253   4500000000100000008004100001260001300042653001000055653001400065653001100079653001200090653000900102653001200111653001600123653001700139100001500156700001500171700001900186245005200205300001100257490000700268520058300275022001400858       1975                            d  c1975 Oct10aAdult10aGranuloma10aHumans10aleprosy10aMale10aMycoses10aPhialophora10aPrednisolone1 aMeyers W M1 aDooley J R1 aKwon-Chung K J00aMycotic granuloma caused by Phialophora repens.  a549-550 v643 a<p>This is the first reported infection by the saprophytic fungus, Phialophora repens. The infection was a solitary granulomatous nodule in the scalp of a Zaïrian man with advanced lepromatous leprosy. The patient was being treated by long-term prednisolone therapy. In tissue sections there were nonpigmented microcolonies composed of irregularly branched septate hyphae. A darkly pigmented fungus was isolated on Sabouraud's medium. The mycologic features of the etiologic agent were typical of P. repens. The infection was treated successfully by excision of the nodule.</p>  a0002-9173