01365nas a2200253 4500000000100000008004100001653001200042653001700054653001900071653002200090100001900112700001900131700001400150700001800164700002200182700001900204700001700223700002000240700001400260700002500274245007000299520072800369022001401097 2017 d10aleprosy10aBlack yeasts10aDermatomycoses10aPhaeohyphomycosis1 aM R Teixeira M1 aB Assunção C1 aR Gomes R1 aRocha-Silva F1 aM de Figueiredo S1 aR R Teixeira E1 aS Carneiro A1 aJ M B Júnior R1 aVicente V1 aBasques Caligiorne R00aA case of subcutaneous phaeohyphomycosis associated with leprosy.3 a
Subcutaneous phaeohyphomycosis is a form of infection caused by dematiaceous fungi and frequently reported in the literature. It is considered as an emerging mycosis because it is increasingly reported among immunosuppressive patients. The most commonly cited etiologic agent is Exophiala jeanselmei, followed by Alternaria spp. We present a case of a 48-year-old woman, with a history of lepromatous leprosy, using corticosteroid in immunosuppressive doses due to a type 2 repetitive reaction leprosy outbreak, revealing subcutaneous phaeohyphomycosis lesions. The diagnosis was confirmed by fine-needle aspiration of the secretion, with subsequent molecular analysis, and culture and direct mycological analyses.
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