期刊
CLINICAL MICROBIOLOGY AND INFECTION
卷 17, 期 10, 页码 1492-1494出版社
WILEY-BLACKWELL
DOI: 10.1111/j.1469-0691.2011.03568.x
关键词
Diaporthe; French Guiana; HTLV-1; mycetoma; osteomyelitis; Phomopsis
Diaporthe phaseolorum (syn. Phomopsis phaseoli) is a frequent fungal parasite of plants, present on all continents around the world. It has rarely been involved in human diseases. We report a case of eumycetoma with osteomyelitis of the forefoot caused by this fungus and diagnosed by molecular biology. The patient had positive HTLV-1 serology and was a farmer from French Guiana who walked barefoot. He was successfully treated with long-term oral itraconazole (400 mg/day). A review of the literature underlines the essential roles of plants and host immunosuppression in this infection and the favourable outcome with a triazole antifungal treatment.
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