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Multifocal phaeohyphomycosis caused by Exophiala xenobiotica in a kidney transplant recipient
Authors:A. Palmisano  F. Morio  P. Le Pape  A.M. Degli Antoni  R. Ricci  A. Zucchi  A. Vaglio  G. Piotti  R. Antoniotti  E. Cremaschi  C. Buzio  U. Maggiore
Affiliation:1. Transplant Nephrology Unit, University Hospital, Parma, Italy;2. Laboratoire de Parasitologie‐Mycologie, CHU de Nantes, Nantes, France;3. Department of Parasitology and Medical Mycology, EA1155 IICiMed, University of Nantes, Nantes, France;4. Infectious Diseases Unit, University Hospital, Parma, Italy;5. Pathology Unit, University Hospital, Parma, Italy;6. Dermatology Unit, University Hospital, Parma, Italy
Abstract:In recent years, black fungi have been increasingly reported as causing opportunistic infections after solid organ transplantation. Here, we report a case of insidious, relentless, and multifocal Exophiala xenobiotica infection in a kidney transplant recipient that eventually required multiple surgical excisions along with oral and intravenous antifungal combination therapy using liposomal amphotericin B and posaconazole. We compare the present case with all previously reported cases of Exophiala infection after kidney transplantation.
Keywords:kidney transplant recipient  phaeohyphomycosis     Exophiala     black fungi  antimycotic therapy
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