Primary cutaneous facial phaeohyphomycosis due to Verruconus gallopava (Ochroconus gallopava) in an immunocompetent woman from the SubHimalayas – a case report and literature review
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 10
Abstract
Verruconus gallopava is a melanised environmental saprophyte. Human infections of respiratory and central nervous systems occur primarily in immunocompromised subjects. Skin and subcutaneous infections are seen when disease involves multiple sites. Primary cutaneous phaeohyphomycosis is exceptional. We report a case of an immunocompetent female who had facial phaeohyphomycosis with V. galIopava following trauma. Lesions progressed despite antibiotic therapy. Diagnosis was established on fungal culture and she showed some favourable response to itraconazole 200 mg with terbnafine 250 mg at her second visit but was lost to follow up. No single therapeutic regimen is consistently efficacious in V. gallopava infections. Early laboratory confirmation is imperative to achieve success as outcome is variable even with combination of antifungal agents and surgery.
Authors and Affiliations
Dr Ghanshyam Verma
Keywords
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