Subcutaneous pheohyphomycotic cyst from a traumatic injury: reactivation after thirty-five years.

Cutis

Department of Dermatology and Cutaneous Surgery, University of Miami School of Medicine, Coral Gables, Florida, USA.

Published: March 1998

Pheohyphomycoses are an uncommon diverse group of dematiaceous fungi present in soil and plant material and are potential pathogens. We report the case of a 45-year-old white Hispanic woman who presented with a hard round cyst on the dorsum of her right foot caused by a traumatic implantation of a piece of wood thirty-five years earlier. The cyst was surgically excised and the patient empirically treated with a two-month course of oral itraconazole. To our knowledge, this represents a case of the longest-lived asymptomatic pheohyphomycotic cyst in an immunocompetent person ever reported. The clinical manifestations, treatment options, and disease course are reviewed.

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