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장기간 면역억제제를 복용한 천포창 환자에 발생한 심부 Adiaspiromycosis

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Affiliated Author(s)
이규석조재위
Alternative Author(s)
Lee, Kyu SukCho, Jae We
Journal Title
대한피부과학회지
ISSN
0494-4739
Issued Date
2011
Keyword
ChrysosporiumDeep fungal infectionImmunosuppressionPemphigus vulgaris
Abstract
Adiaspiromycosis is known as an infection that is due to Chrysosporium species which are filamentous soil
saprophytes that cause pulmonary infection in rare cases but are classified mainly as a contaminant rather than a
pathogen in dermatological areas. Deep fungal infections, commonly by Aspergillosis and Candida, are associated
with patients who have an impaired skin barrier or immunosuppression and it takes a long time to identify the
pathogen because it is hard to diagnosis it without clinical suspicion. In our case, a 56-year-old female living in a
rural area who took immunosuppressants including cyclophosphamide, mycophenolate mefetil, and prednisolone due
to pemphigus vulgaris presented at our clinic with an erythematous patch with pustular discharges on the left
forearm for 2 months. She had been treated with antibiotics under the impression of cellulitis but was not responsive
to it. A Chrysosporium species was identified by tissue culture and treatment was successful with an antifungal
agent. We here report a case of deep fungal infection caused by Chrysosporium species without pulmonary
infiltration which is a rare manifestation.
Alternative Title
Deep Adiaspiromycosis Caused by Chrysosporium Associated with Long-Term Treatment
with Immunosuppresants in a Patient with Pemphigus Vulgaris
Department
Dept. of Dermatology (피부과학)
Publisher
School of Medicine
Citation
류한원 et al. (2011). 장기간 면역억제제를 복용한 천포창 환자에 발생한 심부 Adiaspiromycosis. 대한피부과학회지, 49(9), 818–821.
Type
Article
ISSN
0494-4739
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39862
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Dermatology (피부과학)
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