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KMID : 0670820100150040182
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Korean Journal of Medical Mycology
2010 Volume.15 No. 4 p.182 ~ p.187
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A Case of Cutaneous Alternariosis Treated with Fluconazole
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Rhee Chin-Ho
Nam Kyung-Hwa
Cho Yong-Sun
Song Ki-Hun
Yun Seok-Kweon
Kim Han-Uk
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Abstract
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Alternaria is a common saprophytic fungus found in the environment such as soil, air, and a variety of objects. The cutaneous infection caused by this fungus occurs more frequent in patients with immunocompromission than in immunocompetent people. We report a case of cutaneous alternariosis in a 63-year-old woman presented with a tender erythematous patch on the right forearm. She was on medication only for hypertension. Histopathologic examination showed a dermal mixed-cell infiltrate including multinucleated giant cells. PAS staining revealed fungal elements in the dermis. Microscopic examination of the colonies showed muriform conidia. A diagnosis of cutaneous infection due to Alternaria species was made on the basis of the above mentioned findings. Oral administration of fluconazole revealed resolution of her cutaneous lesion.
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KEYWORD
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Alternaria, Cutaneous alternariosis, Fluconazole
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