Multifocal but nondisseminated phaeohyphomycosis
in a healthy man via a unique mechanism: ejection from motor vehicle accident into a vegetable field in Afghanistan resulting in multiple contaminated skin wounds.
Other diagnoses include cutaneous leishmaniasis, as occurred for 2 of the soldiers, as well as diffuse leishmaniasis, chromomycosis, sporotrichosis, lepromatous or tuberculoid dimorphic leprosy, mycetoma, phaeohyphomycosis
, pyoderma, Kaposi sarcoma, sarcoidosis, keloid scars, histiocytosis of Langerhans cells, melanoma, dermatofibrosarcoma, lymphoma, squamous cell carcinoma, and cutaneous metastases (3,17,40,41).
Primary central nervous system phaeohyphomycosis
: a review of 101 cases.
in an immunocompetent patient: A case report and literature summary.
These organisms have been reported as causative agents of subcutaneous phaeohyphomycosis
, mycotic keratitis, hypersensitivity pneumonitis and extrinsic asthma (46).
These molds cause a heterogeneous group of infections referred to as phaeohyphomycosis
which include local infections, pneumonia, brain abscesses, and disseminated infections.
can be found widely distributed in the environment (like Penicillium spp,) and some species can produce diseases like black tinea, onychomycosis, phaeohyphomycosis
, among other, in healthy people (31).
MassonFontana was positive in 5 of these 10 cases indicating phaeohyphomycosis
. Of the 5 cases of phaeohyphomycosis
, 5/5 cases showed necrosis and 2 showed palisading granuloma.
There are two clinicopathological groups--chromoblastomycosis and phaeohyphomycosis
, which represent extremes of a continuum of infections.
Wang, "A case of phaeohyphomycosis
caused by a new species of Phialophora," Mycologia, vol.
The term phaeohyphomycosis
was introduced by Ajello et al.
caused by Rhytidhysteron rufulum and review of literature.