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Eumycetoma of the foot caused by Exophiala jeanselmei in a Guinean woman

Abstract : Eumycetomas are chronic infectious entities characterized by presence of mycotic grains in (sub-)cutaneous tissues, after accidental inoculation of an exogenous filamentous fungus in the skin. The lesions evolve towards painless pseudotumor of the soft parts. We report the original case of a Guinean woman exhibiting eumycetoma of the right foot. Both laboratory tests identified a dematiaceous fungus, Exophiala jeanselmei, as the responsible infectious agent. A medical treatment with voriconazole alone was sufficient to notice a substantial clinical improvement. This finding is unusual as E. jeanselmei is uncommon in Guinea-Conakry, and as optimal treatment rather associate antifungal azoles and surgical excision.
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Submitted on : Friday, August 2, 2019 - 10:19:57 AM
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G Desoubeaux, A. Millon, B. Freychet, A. de Muret, D. Garcia-Hermoso, et al.. Eumycetoma of the foot caused by Exophiala jeanselmei in a Guinean woman. Journal of Medical Mycology / Journal de Mycologie Médicale, Elsevier Masson, 2013, 23 (3), pp.168-175. ⟨10.1016/j.mycmed.2013.05.002⟩. ⟨pasteur-02262203⟩



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