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A Case of Cutaneous Protothecosis Mimics Eczema

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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 %.

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Acknowledgments

Special thanks to Dr. Chen Min from Key Laboratory of Molecular Biology for Medical Mycology Shanghai, Department of Dermatology,Changzheng Hospital, Shanghai and Shanghai Institute of Medical Mycology in PCR cloning identification of organism.

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Correspondence to Qiangqiang Zhang.

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Zhang, Q., Li, L., Yuli, K. et al. A Case of Cutaneous Protothecosis Mimics Eczema. Mycopathologia 179, 163–166 (2015). https://doi.org/10.1007/s11046-014-9812-y

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  • DOI: https://doi.org/10.1007/s11046-014-9812-y

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