Welfringer Anne, Vuong Valérie, Argy Nicolas, Chochillon Christian, Deschamps Lydia, Rollin Guillaume, Harent Stanislas, Joly Véronique, Vindrios William, Descamps Vincent
Department of dermatology, Hospital Bichat, University Paris Diderot, Paris, France.
Department of Parasitology-mycology, Hospital Bichat, University Paris Descartes, Paris, France.
Med Mycol Case Rep. 2017 Feb 5;15:21-24. doi: 10.1016/j.mmcr.2017.02.001. eCollection 2017 Mar.
We report a rare case of phaehyphomycosis in a 71-year-old heart transplant recipient Togo native patient. Four months after the transplant, he presented painless nodules on the right heel with superficial ulceration. The polyphasic identification uncovered a rare cause of phaehyphomycose: V. botryosa. The treatment combined surgical excision of the lesions and anti-fungal therapy with posaconazole. We discussed eleven reported cases in literature since 1990.
我们报告了一例罕见的暗色丝孢霉病，患者为一名71岁的心脏移植受者，是来自多哥的本地人。移植后四个月，他的右脚跟出现无痛性结节并伴有浅表溃疡。多相鉴定发现了一种罕见的暗色丝孢霉病病因：葡萄穗霉。治疗方法包括手术切除病灶以及使用泊沙康唑进行抗真菌治疗。我们讨论了自1990年以来文献报道的11例病例。
