A rare complication of ear piercing: a case of subcutaneous phaeohyphomycosis caused by Veronaea botryosa in China.
Med Mycol
; 49(3): 296-302, 2011 Apr.
Article
em En
| MEDLINE
| ID: mdl-20854230
ABSTRACT
We present the third case of phaeohyphomycosis caused by Veronaea botryosa in China and the tenth case worldwide. A 16-year-old Chinese girl developed crusted, verrucous lesions, initially on the left ear and later on the left buttock, within 2-5 months of receiving an ear piercing. Histopathological examination of biopsy specimens confirmed diagnosis of subcutaneous phaeohyphomycosis. Microscopic examination of the colonies recovered in culture from a portion of the biopsy specimen resulted in the identification of Veronaea botryosa based primarily on the presence of two-celled, brownish pigmented, cylindrical conidia produced sympodially from erect conidiogenous cells. The lesions significantly improved with daily oral treatment with itraconazole 400 mg and adjuvant thermotherapy for 6 months. A maintenance therapy with low dose itraconazole was prescribed in order to achieve clinical and mycological cure. A two-year follow-up didn't reveal any recurrence of infection. Our case is the first report of V. botryosa infection associated with a cosmetic procedure, which suggests that skin piercing could precipitate V. botryosa or other dematiaceous, as well as opportunistic fungal infections.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ascomicetos
/
Piercing Corporal
/
Micoses
Tipo de estudo:
Prognostic_studies
Limite:
Adolescent
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Female
/
Humans
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article