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Pediatric Phaeohyphomycosis: A 44-Year Systematic Review of Reported Cases.
J Pediatric Infect Dis Soc
February 2023
Department of Pediatrics/Infectious Diseases Service; Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, México.
Article Synopsis
- Phaeohyphomycosis is a serious infection caused by pigmented fungi, particularly affecting immunocompromised children, with a lower mortality rate compared to adults (22.3% in children vs. 79% in adults).
- A review of 130 pediatric cases showed common risk factors like hematologic malignancies, neutropenia, and steroid therapy, with localized infections being the most prevalent type (61.5%).
- Most cases were treated successfully with antifungal therapy (87%), but the mortality rate varied significantly based on the infection site and patient conditions, indicating a need for more research.
A case of disseminated subcutaneous phaeohyphomycosis caused by Exserohilum rostratum with CARD9 mutation.
Indian J Dermatol Venereol Leprol
February 2022
ICMR-National Institute of Immunohaematology, KEM Hospital, Mumbai, Maharashtra, India.
Phaeohypomycosis is a rare cutaneous and subcutaneous fungal infection caused by dematiaceous fungi. They have a widespread global distribution occasionally affecting humans. A 26-year-old woman presented with multiple skin lesions over her face and extremities for last 7 years, unresponsive to systemic amphotericin B and itraconazole.
View Article and Find Full Text PDFExserohilum infections in Australian Queensland children.
Mycoses
February 2019
Infection Management and Prevention Service, Queensland Children's Hospital, Brisbane, Queensland, Australia.
Background: Exserohilum species are environmental moulds that can cause skin infection and sinusitis in both normal and immunosuppressed children. This study reviews paediatric cases of Exserohilum infection in Queensland, Australia, to identify the spectrum of disease and its clinical course.
Methods: All culture-positive samples of Exserohilum species in children <18 years of age were identified from the Queensland Health Laboratory database (April 2003-April 2018).
Phaeohyphomycosis in transplant recipients: Results from the Transplant Associated Infection Surveillance Network (TRANSNET).
Med Mycol
June 2015
Department of Medicine, University of Alabama at Birmingham, Birmingham, USA.
Transplant recipients are at a high risk for developing invasive fungal infections. The agents of phaeohyphomycosis are environmental molds found worldwide, and they cause a broad spectrum of disease including skin and subcutaneous lesions, pneumonia, central nervous system disease, fungemia, and disseminated disease. Using data from the Transplant Associated Infection Surveillance Network (TRANSNET), we evaluated patients with proven and probable phaeohyphomycosis.
View Article and Find Full Text PDFDeep cutaneous fungal infections in immunocompromised children.
J Am Acad Dermatol
November 2009
Division of Dermatology, CHU Sainte-Justine, Montreal, Quebec, Canada.
Background: Life-threatening infections from ubiquitous fungi are becoming more prevalent in adults and children because of the increased use of immunosuppressive agents and broad-spectrum anti-infective drugs. Extremely low birth weight premature neonates and patients with a disrupted epidermal barrier are also at increased risk. Lethality is high, particularly with delayed diagnosis.
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