Journal
MEDICAL MYCOLOGY CASE REPORTS
Volume 12, Issue -, Pages 21-23Publisher
ELSEVIER SCIENCE BV
DOI: 10.1016/j.mmcr.2016.08.001
Keywords
Prototheca wickerhamii; Protothecosis; Cutaneous; Liposomal amphotericin; Itraconazole
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Protothecosis is a rare algal infection, affecting primarily immunocompromised hosts. Optimal management is unclear: in-vitro antimicrobial breakpoints are not established and therapeutic decisions are primarily based on case reports. We present a case of cutaneous Prototheca wickerhamii infection in an immunosuppressed 63 year old male, successfully treated with liposomal amphotericin and prolonged itraconazole. Inoculation may have been through frequent hot-tub use, highlighting hot-tub exposure as an infection risk for the immunocompromised host. (C) 2016 The Authors. International Society for Human and Animal Mycology Published by Elsevier B.V.
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