Skip to main content
Log in

Tiny keratotic brown lesions on the interdigital web between the toes of a healthy man caused by Curvularia species infection and a review of cutaneous Curvularia infections

  • Full Paper
  • Published:
Mycoscience

Abstract

A 74-year-old healthy Japanese man had noticed an itchy lesion with two tiny thick brown scales on the fourth interdigital web of his right foot 3 months earlier. The brown fungus isolated from the scales had demonstrated brown, ellipsoidal, obovoid or clavate, 3-septate conidia. Morphologically, the fungus was identified as Curvularia sp., and was differentiated from other human pathogenic species of the genus, such as C. lunata, C. pallescens, C. trifolii, C. clavata, and C. brachyspora, by molecular analysis based on the DNA sequence data. The fungus grows well on keratotic materials (hairs, nails, and callus), which indicates that it might have the ability to infect the skin surface.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9

Similar content being viewed by others

References

  • Agrawal A, Singh SM (1995) Two cases of cutaneous phaeohyphomycosis caused by Curvularia pallescens. Mycoses 38:301–303

    Article  PubMed  CAS  Google Scholar 

  • Anbu P, Gopinath SCB, Hilda A, Mathivanan N, Annadural G (2006) Secretion of keratinolytic enzymes and keratinolysis by Scopulariopsis brevicaulis and Trichophyton mentagrophytes: regression analysis. Can J Microbiol 52:1060–1069

    Article  PubMed  CAS  Google Scholar 

  • Barde AK, Singh SM (1983) A case of onychomycosis caused by Curvularia lunata (Wakker) Boedijn. Mykosen 26:311–316

    PubMed  CAS  Google Scholar 

  • Berbee ML, Pirseyedi M, Hubbard S (1999) Cochliobolus phylogenetics and the origin of known, highly virulent pathogens, inferred from ITS and glyceraldehyde-3-phosphate dehydrogenase gene sequences. Mycologia 91:964–977

    Article  CAS  Google Scholar 

  • Berg D, Garcia JA, Schell WA, Perfect JR, Murray JC (1995) Cutaneous infection caused by Curvularia pallescens: a case report and review of the spectrum of disease. J Am Acad Dermatol 32:375–378

    Article  PubMed  CAS  Google Scholar 

  • Bonduel M, Santos P, Turienzo CF, Chantada G, Paganini H (2001) Atypical skin lesions caused by Curvularia sp. and Pseudallescheria boydii in two patients after allogeneic bone marrow transplantation. Bone Marrow Transplant 27:1311–1313

    Article  PubMed  CAS  Google Scholar 

  • de Hong GS, Guarro J, Gene J, Figueras MJ (2000) Atlas of clinical fungi, 2nd edn. CBS, Utrecht

    Google Scholar 

  • Duvic M, Lowe L, Rios A, MacDonald E, Vance P (1987) Superficial phaeohyphomycosis of the scrotum in a patient with the acquired immunodeficiency syndrome. Arch Dermatol 123:1597–1599

    Article  PubMed  CAS  Google Scholar 

  • Ellis MB (1966) Dematiaceous Hyphomycetes. VII: Curvularia, Brachysporium, etc. Mycol Pap 106:1–57

    Google Scholar 

  • Fan YM, Huang WM, Li SF, Wu GF, Li W, Chen RY (2008) Cutaneous phaeohyphomycosis of foot caused by Curvularia clavata. Mycoses 52:544–546

    Article  Google Scholar 

  • Fernandez M, Noyola DE, Rossmann SN, Edwards MS (1999) Cutaneous phaeohyphomycosis caused by Curvularia lunata and a review of Curvularia infection in pediatrics. Pediatr Infect Dis J 18:727–731

    Article  PubMed  CAS  Google Scholar 

  • Garg A, Sujatha S, Parija Garg J, SC Thappa DM (2008) Eumycetoma due to Curvularia lunata. Indian J Dermatol Venereol Leprol 74:515–516

    Article  PubMed  Google Scholar 

  • Grieshop TJ, Yarbrough D III, Farrar WE (1993) Case report: phaeohyphomycosis due to Curvularia lunata involving skin and subcutaneous tissue after an explosion at a chemical plant. Am J Med Sci 305:387–389

    Article  PubMed  CAS  Google Scholar 

  • Gugnani HC, Okeke CN, Sivanesan A (1990) Curvularia clavata as an aetiological agent of human skin infection. Lett Appl Microbiol 10:47–49

    Article  Google Scholar 

  • Harris JJ, Downham TF II (1978) Unusual fungal infections associated with immunologic hyporeactivity. Int J Dermatol 17:323–330

    Article  PubMed  CAS  Google Scholar 

  • Hiromoto A, Nagano T, Nishigori C (2008) Cutaneous infection caused by Curvularia species in an immunocompetent patient. Br J Dermatol 158:1374–1375

    Article  PubMed  CAS  Google Scholar 

  • Kamalam A, Ajithadass K, Sentamilselvi G, Thambiah AS (1992) Paronychia and black discoloration of a thumb nail caused by Curvularia lunata. Mycopathologia 118:83–84

    Article  PubMed  CAS  Google Scholar 

  • Kiryu H, Suenaga Y (1985) A case of cutaneous Curvularia infection caused by Curvularia trifolii. In: Fukushiro R, Kagawa S, Kitamura K (eds) Typical cutaneous fungus disease—rare case (in Japanese). Proceedings of the 37th meeting of Japanese Society of Medical Mycology, Yokohama, pp 63–66

  • Lavoie SR, Espinel–Ingroff A, Kerkering T (1993) Mixed cutaneous phaeohyphomycosis in a cocaine user. Clin Infect Dis 17:114–116

    PubMed  CAS  Google Scholar 

  • Lopes JO, Jobim NM (1998) Dermatomycosis of the toe web caused by Curvularia lunata. Rev Inst Med Trop Sao Paulo 40:327–328

    PubMed  CAS  Google Scholar 

  • Mahgoub ES (1973) Mycetomas caused by Curvularia lunata, Madurella crisea, Aspergillus nidulans, and Nocardia brasiliensis in Sudan. Sabouraudia 11:179–182

    PubMed  CAS  Google Scholar 

  • Marcondes ND, Taira CL, Vandresen DC, Svidzinski TIE, Kadowaki MK, Peralta RM (2008) New feather-degrading filamentous fungi. Microb Ecol 56:13–17

    Article  Google Scholar 

  • Muhsin TM, Salih TH (2000) Exocellular enzyme activity of dermatophytes and other fungi isolated from ruminants in Southern Iraq. Mycopathologia 150:49–52

    Article  Google Scholar 

  • Rinaldi MG, Phillips P, Schwartz JG, Winn RE, Holt GR, Shagets FW, Elrod J, Nishioka G, Aufdemorte TB (1987) Human Curvularia infections: report of five cases and review of the literature. Diagn Microbiol Infect Dis 6:27–39

    Article  PubMed  CAS  Google Scholar 

  • Rohwedder JJ, Simmons JL, Colfer H, Gatmaitan B (1979) Disseminated Curvularia lunata infection in a football player. Arch Intern Med 139:940–941

    Article  PubMed  CAS  Google Scholar 

  • Sivanesen A (1987) Graminicolous species of Bipolaris, Curvularia, Drechslera, Exserohilum and their teleomorphs. Mycol Pap 158:1–261

    Google Scholar 

  • Still JM Jr, Law EJ, Pereira GI, Singletary E (1993) Invasive burn wound infection due to Curvularia species. Burns 19:77–79

    Article  PubMed  Google Scholar 

  • Swofford DL (2005) PAUP*. Phylogenetic analysis using parsimony (*and other methods), version 4. Sinauer Associates, Sunderland

    Google Scholar 

  • Tamaki A, Nagano T, Nishikiori T (2006) A case of cutaneous phaeohyphomycosis caused by Curvularia sp. (in Japanese). Jpn J Dermatol 116:841

    Google Scholar 

  • Tessari G, Formi A, Ferretto R, Solbiati M, Faggian G, Mazzucco A, Barba A (2003) Lethal systemic dissemination from a cutaneous infection due to Curvularia lunata in a heart transplant recipient. J Eur Acad Dermatol Venereol (JEADV) 17:440–442

    Article  CAS  Google Scholar 

  • Torda AJ, Jones PD (1997) Necrotizing cutaneous infection caused by Curvularia brachyspora in an immunocompetent host. Aust J Dermatol 38:85–87

    Article  CAS  Google Scholar 

  • White TJ, Bruns T, Lee S, Taylor J (1990) Amplification and direct sequencing of fungal ribosomal RNA genes for phylogenetics. In: Innis MA, Gelfand DH, Sninsky JJ, White TJ (eds) PCR protocols: a guide to methods and applications. Academic Press, New York, pp 315–322

    Google Scholar 

  • Yvonne CW, de Nanassy J, Summerbell RC, Matlow AG, Richardson SE (1994) Fungal sternal wound infection due to Curvularia lunata in a neonate with congenital heart disease: case report and review. Clin Infect Dis 19:735–740

    Google Scholar 

Download references

Acknowledgment

We thank Dr. M. Tuda (Professor Emeritus, Kyoto University, Japan) for his valuable comments on the morphological identification.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Makoto Yanagihara.

About this article

Cite this article

Yanagihara, M., Kawasaki, M., Ishizaki, H. et al. Tiny keratotic brown lesions on the interdigital web between the toes of a healthy man caused by Curvularia species infection and a review of cutaneous Curvularia infections. Mycoscience 51, 224–233 (2010). https://doi.org/10.1007/s10267-009-0030-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10267-009-0030-2

Keywords

Navigation