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CASE REPORT
Year : 2019  |  Volume : 21  |  Issue : 1  |  Page : 40-43

Phaeoacremonium parasiticum hand infection in renal transplant patient


1 Department of Plastic Surgery, Government Medical College, Kozhikode, Kerala, India
2 Department of Pathology, Government Medical College, Kozhikode, Kerala, India
3 Department of Dermatology, Government Medical College, Kozhikode, Kerala, India
4 Department of Microbiology, Government Medical College, Kozhikode, Kerala, India

Correspondence Address:
Dr. Sheeja T M Rajan
Department of Plastic Surgery, Government Medical College, Kozhikode, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jacm.jacm_24_18

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Phaeohyphomycosis is a group of rare opportunistic infections caused by dematiaceous fungi. Their significance in the newly emerging and rare fungal infections of solid organ transplant recipients is being increasingly recognised. We present a case of fungal infection of both hands in a post-renal transplant patient on immunosuppressive drugs, by Phaeoacremonium parasiticum. Diagnostic confirmation by fungal cultures, histopathologic examination with special stains and confirmation by polymerase chain reaction technique was done. Remission was achieved by a combination of surgical debulking followed by systemic azoles, intralesional amphotericin B and saturated solution of potassium iodide. Significance of such infections in transplant tourism is implicated since the fungus is frequently found in tropical and subtropical regions.


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