Publication: Nocardia Beijingensis psoas abscess and subcutaneous Phaeohyphomycosis caused by Phaeoacremonium parasiticum in a renal transplant recipient: The first case report in Thailand
Issued Date
2015-01-01
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ISSN
01251562
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2-s2.0-84979862613
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Mahidol University
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SCOPUS
Bibliographic Citation
Southeast Asian Journal of Tropical Medicine and Public Health. Vol.46, No.6 (2015), 1049-1054
Suggested Citation
Nattawan Palavutitotai, Piriyaporn Chongtrakool, Popchai Ngamskulrungroj, Methee Chayakulkeeree Nocardia Beijingensis psoas abscess and subcutaneous Phaeohyphomycosis caused by Phaeoacremonium parasiticum in a renal transplant recipient: The first case report in Thailand. Southeast Asian Journal of Tropical Medicine and Public Health. Vol.46, No.6 (2015), 1049-1054. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/36664
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Title
Nocardia Beijingensis psoas abscess and subcutaneous Phaeohyphomycosis caused by Phaeoacremonium parasiticum in a renal transplant recipient: The first case report in Thailand
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Abstract
© 2015, SEAMEO TROPMED Network. All rights reserved. We describe the first case of a psoas muscle abscess caused by Nocardia beijingensis and subcutaneous phaeohyphomycosis caused by Phaeoacremonium parasiticum in a renal transplant recipient. The patient was treated for nocardiosis with percutaneous drainage and intravenous trimethoprim/sulfamethoxazole (TMP/SMX) combined with imipenem for 2 weeks, followed by a 4-week course of intravenous TMP/SMX and then oral TMP/SMX. During hospitalization for the psoas muscle abscess the patient developed cellulitis with subcutaneous nodules of his right leg. Skin biopsy and cultures revealed a dematiaceous mold, subsequently identified as P. parasiticum by DNA sequencing. The subcutaneous phaeohyphomycosis was treated with surgical drainage and liposomal amphotericin B for 4 weeks followed by a combination of itraconazole and terbinafine. The patient gradually improved and was discharged home after 18 weeks of hospitalization.