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Cutaneous infection by Alternaria infectoria in a liver transplant recipient: a case report

E Coussens, S Rogge, Marc Haspeslagh (UGent) , Anja Geerts (UGent) , Xavier Verhelst (UGent) , Hans Van Vlierberghe (UGent) , Roberto Troisi (UGent) and Isabelle Colle (UGent)
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Abstract
We report the case of a 65-year-old man who developed multiple crusty ulcerative skin lesions on both lower extremities six months after liver transplantation. The causative pathogen was identified as Alternaria Infectoria, an opportunistic fungal agent. The patient was successfully treated with fluconazole for 27 weeks, with complete regression of the lesions. Due to the lack of well-designed clinical studies it is difficult to determine the best treatment course regarding solid organ transplant recipients presenting with invasive fungal infections. And for now, the clinician must lean upon case-reports or retrospective analyses to compose the most suited therapy for his patient. Based upon literature, it seems that the combination of a broad spectrum azole and reducing the dose of immunosuppressive drugs is the cornerstone of treating invasive fungal infections in solid organ transplant patients.
Keywords
PHEOHYPHOMYCOSIS, PATIENT

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Citation

Please use this url to cite or link to this publication:

Chicago
Coussens, E, S Rogge, Marc Haspeslagh, Anja Geerts, Xavier Verhelst, Hans Van Vlierberghe, Roberto Troisi, and Isabelle Colle. 2014. “Cutaneous Infection by Alternaria Infectoria in a Liver Transplant Recipient: a Case Report.” Acta Gastro-enterologica Belgica 77 (2): 256–258.
APA
Coussens, E, Rogge, S., Haspeslagh, M., Geerts, A., Verhelst, X., Van Vlierberghe, H., Troisi, R., et al. (2014). Cutaneous infection by Alternaria infectoria in a liver transplant recipient: a case report. ACTA GASTRO-ENTEROLOGICA BELGICA, 77(2), 256–258.
Vancouver
1.
Coussens E, Rogge S, Haspeslagh M, Geerts A, Verhelst X, Van Vlierberghe H, et al. Cutaneous infection by Alternaria infectoria in a liver transplant recipient: a case report. ACTA GASTRO-ENTEROLOGICA BELGICA. 2014;77(2):256–8.
MLA
Coussens, E, S Rogge, Marc Haspeslagh, et al. “Cutaneous Infection by Alternaria Infectoria in a Liver Transplant Recipient: a Case Report.” ACTA GASTRO-ENTEROLOGICA BELGICA 77.2 (2014): 256–258. Print.
@article{5738476,
  abstract     = {We report the case of a 65-year-old man who developed multiple crusty ulcerative skin lesions on both lower extremities six months after liver transplantation. The causative pathogen was identified as Alternaria Infectoria, an opportunistic fungal agent. The patient was successfully treated with fluconazole for 27 weeks, with complete regression of the lesions. Due to the lack of well-designed clinical studies it is difficult to determine the best treatment course regarding solid organ transplant recipients presenting with invasive fungal infections. And for now, the clinician must lean upon case-reports or retrospective analyses to compose the most suited therapy for his patient. Based upon literature, it seems that the combination of a broad spectrum azole and reducing the dose of immunosuppressive drugs is the cornerstone of treating invasive fungal infections in solid organ transplant patients.},
  author       = {Coussens, E and Rogge, S and Haspeslagh, Marc and Geerts, Anja and Verhelst, Xavier and Van Vlierberghe, Hans and Troisi, Roberto and Colle, Isabelle},
  issn         = {0001-5644},
  journal      = {ACTA GASTRO-ENTEROLOGICA BELGICA},
  language     = {eng},
  number       = {2},
  pages        = {256--258},
  title        = {Cutaneous infection by Alternaria infectoria in a liver transplant recipient: a case report},
  volume       = {77},
  year         = {2014},
}

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