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POSTTRAUMATIC PRIMARY CUTANEOUS ASPERGILLOSIS WITH CANDIDA GUILLIERMONDII INFECTION IN A HEALTHY HOST

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dc.creator Yagci, Server
dc.creator Turksen, Zeynep
dc.creator Karadag, Ayse Serap
dc.creator Tezer, Ayla
dc.creator Taner, Omer Faruk
dc.creator Akdagli, Sevtap Arikan
dc.creator Tekin, Fatih
dc.date 2010-10-01T00:00:00Z
dc.date.accessioned 2023-01-09T12:07:46Z
dc.date.available 2023-01-09T12:07:46Z
dc.identifier c44f5e69-c898-456d-88e7-65847504cd54
dc.identifier https://avesis.sdu.edu.tr/publication/details/c44f5e69-c898-456d-88e7-65847504cd54/oai
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/98338
dc.description Opportunistic fungal infections are usually seen in immunocompromised patients. While Candida is the most prevalent agent in such infections, Aspergillus is at the second order. Primary cutaneous aspergillosis is most common in immunocompromised patients but can rarely be seen in healthy hosts as well. We report a case of posttraumatic primary cutaneous aspergillosis and Candida guilliermondii coinfection in a 70-years-old healthy man. The patient had an ulcerous lesion which developed in the site of a trauma on the middle finger of the right hand. Histopathological examination of the biopsy specimens revealed septate hyphae with dichotomous branching small circular blastospores. The cultures of the biopsy specimen yielded yellow-green colored, granular mold colonies and creamy white yeast colonies. Microscopic examination of the lactophenol cotton blue stained mold colonies indicated long conidiophores with vesicles surrounded by uniseriate phialides, compatible with Aspergillus flavus. Yeast colonies were identified as Candida guilliermondii by ID32C (BioMerieux, France) and by their microscopical morphology detected in corn meal-Tween 80 agar incubated at 25 degrees C for 72 hours. The patient was treated properly with surgical debridement and itraconazole therapy. Since the immune system is compressed as a consequence of aging, cutaneous opportunistic fungal infections should be considered in the differential diagnosis of posttraumatic necrotic ulcers and black eschar in aged patients.
dc.language tur
dc.rights info:eu-repo/semantics/closedAccess
dc.title POSTTRAUMATIC PRIMARY CUTANEOUS ASPERGILLOSIS WITH CANDIDA GUILLIERMONDII INFECTION IN A HEALTHY HOST
dc.type info:eu-repo/semantics/article


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