Phaehyphomycosis Flashcards
heterogeous grp of mycotic infections caused by dematiaceous fungi w morphologic char in tissue that include hyphae, yeastlike cells or combination of these.
phaehyphomycosis
most common cause of presentation in temperate climates
exophiala jeanselmei
most common cause of disseminated dx
bipolaris spicifera
most common organism- Scedosporium prolificans
etio
cause both phare and chromo- Phialophora verrucosa
cause mycetoma- E.jeanselmei.
melanin be stained w fontana masson method.
tx
Best treated w excision.
superficial phae- topical antifungal agents and superficial debridement.
invasive disseminated dx- surgical excision comb w antifungal tx. Itraconazole 400 mg/day atleast 6 mos.
alt: voriconazole and posaconazole.