Cutaneous alternariosis in a cardiac transplant recipient

✍ Scribed by Tanya K Gilmour; Ed Rytina; P Brian O’Connell; Jane C. Sterling

• Publisher: John Wiley and Sons
• Year: 2001
• Tongue: English
• Weight: 173 KB
• Volume: 42
• Category: Article
• ISSN: 0004-8380
• DOI: 10.1046/j.1440-0960.2001.00473.x

✦ Synopsis

SUMMARY

A 55‐year‐old male cardiac transplant recipient presented with cutaneous nodules on the limbs caused by Alternaria alternata. Oral fluconazole 200 mg daily for 3 weeks was ineffective. Itraconazole 100 mg oral daily was ceased when hyperglycaemia developed. Individual lesions were successfully treated with either curettage and cautery or double freeze‐thaw cryotherapy. Alternaria spp. are ubiquitous fungal saprophytes which may cause cutaneous infections particularly in immunocompromised patients.