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322 records · Page 18Linked to original sources

Dematiaceous fungal keratitis following penetrating keratoplasty.

A keratitis with an unusual, sessile, filamentary mass extending into the anterior chamber developed in a patient three weeks after penetrating keratoplasty. The causative organism was identified as Exophilia (Wangiella) dermatitidis, a dematiaceous fungus. The infection was cured with a combination of medical and surgical therapy. Inoculation of the isolate into rabbit corneas produced a similar keratitis from which the same organism was cultured. Miconazole levels measured in corneal tissue removed at surgery were approximately 25 times greater than the minimum inhibitory concentration for the fungal isolate.

Adult↗

[Chromomycosis].

Explore the source record for details and available documents.

Chromoblastomycosis↗

[Mycotic cysts. A histopathologic study].

Histopathological study of 18 cases of mycotic cysts (cultures have been made in three cases with isolation of Exophiala gougerotii). In three cases, two from Madagascar and one from Senegal, fungus looked like hyalin in tissues (no essay of cultures). Histologically, the lesions showed the appearance of fluctuant or stellate subcutaneous abscess. The organisms in the tissues exhibit dimorphism: hyphae associated with round forms. In one case, there was a black fungic grain associated with " spores" and hyphae and in one case, a foreign body (plant tissue) with fungic vesicules inside was present in the abscess.

Adolescent↗

Osteolytic phaeohyphomycosis caused by Phialemonium obovatum.

Phialemonium obovatum was found to be the cause of nosocomial osteomyelitis in a 41-year-old man after sustaining a nonpenetrating injury to his lumbar and cervical region. Histologic examination of fragments of disk and bone from L3-4 hemilaminectomy showed multiple fragments of fibrocartilage with focal necrosis, chronic inflammation, and granulation tissue formation. Sections stained with Gomori's methenamine silver procedure showed multiple fungal elements in necrotic areas consisting of irregularly branched, hyaline septate hyphae having swollen cells, and occasional yeastlike cells. The use of Fontana-Masson silver stain showed the presence of melanin in cells walls and septa of the hyphae. Phialemonium obovatum was isolated when the ground tissue from disk and bone from L3-4 was cultured on biphasic brain-heart infusion medium. Colonies were moist, off-white to ochraceous with a characteristic green, diffusible pigment on the reverse side. The isolate grew well up to 40 degrees C. It formed characteristic adelophialides without conspicuous collarettes and basal septa and produced smooth, one-celled, hyaline, and obovate conidia.

Acremonium↗