A case of cutaneous protothecosis mimics eczema

Mycopathologia. 2015 Feb;179(1-2):163-6. doi: 10.1007/s11046-014-9812-y. Epub 2014 Sep 9.

Abstract

We report a case of cutaneous protothecosis due to Prototheca wickerhamii in an immunocompetent man presented with a specific eczema-like lesions. Dermatological examination revealed erythematous plaques, dark red papules with some coalescence, and a few superficial ulcerations, covered with less scales on his right side chest and neck. Fungal culture, histopathological examination and molecular identification confirmed the organism. Antifungal susceptibility testing revealed strain sensitive to amphotericin B, Fluconazole, itraconazole and voriconazole. The patient was cured by oral itraconazole capsules and topical cream ketoconazole 2%.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Antifungal Agents / therapeutic use*
  • Base Sequence
  • DNA, Plant / genetics
  • Drug Therapy, Combination
  • Eczema / drug therapy
  • Eczema / etiology*
  • Humans
  • Infections / diagnosis*
  • Infections / drug therapy*
  • Itraconazole / therapeutic use
  • Ketoconazole / therapeutic use
  • Male
  • Molecular Typing
  • Prototheca / drug effects*
  • Prototheca / genetics
  • Prototheca / isolation & purification
  • Sequence Analysis, DNA

Substances

  • Antifungal Agents
  • DNA, Plant
  • Itraconazole
  • Ketoconazole