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Eumycetoma Caused by Aspergillus terreus: A Case Report and Literature Review
Xin Hu
Xin Hu
Department of Microbiology, Graduate School of Medicine, Kyoto University, Kyoto, Japan;
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Mingrui Zhang
Mingrui Zhang
Department of Dermatology, The Second Hospital of Jilin University, Changchun, People’s Republic of China
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Sha Lv
Sha Lv
Department of Dermatology, The Second Hospital of Jilin University, Changchun, People’s Republic of China
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Zhe Liu
Zhe Liu
Department of Dermatology, The Second Hospital of Jilin University, Changchun, People’s Republic of China
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Ichiro Nakagawa
Ichiro Nakagawa
Department of Microbiology, Graduate School of Medicine, Kyoto University, Kyoto, Japan;
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Fuqiu Li
lifuqiu1234@126.com
Fuqiu Li
Department of Dermatology, The Second Hospital of Jilin University, Changchun, People’s Republic of China
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Mycetoma is a granulomatous disease of subcutaneous tissue that is caused by different species of aerobic filamentous bacteria (actinomycetoma) or fungi (eumycetoma). Mycetoma treatment depends on the causative pathogen, and it mainly consists of antimicrobial interventions or surgery. Aspergillus terreus is an etiologic agent of invasive aspergillosis and a rare cause of eumycetoma that is common in central and southern China. The present case report describes a 45-year-old female patient with subcutaneous swelling and multiple active and healed sinuses over the dorsal aspect of the left foot who was diagnosed with eumycetoma caused by A. terreus. This is the first such case reported in China. We applied a combination treatment consisting of itraconazole with topical luliconazole cream and radiofrequency microneedling, and this was followed by significant regression of the lesion. In addition, we reviewed the current literature to summarize the epidemiological characteristics of mycetoma in mainland China and cases of eumycetoma caused by A. terreus worldwide.
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Author Notes
Financial support: We acknowledge financial support from the
Current contact information: Xin Hu and Ichiro Nakagawa, Department of Microbiology, Graduate School of Medicine, Kyoto University, Kyoto, Japan, E-mails: hu.xin.66w@st.kyoto-u.ac.jp and nakagawa.ichiro.7w@kyoto-u.ac.jp. Mingrui Zhang, Sha Lv, Zhe Liu, and Fuqiu Li, Department of Dermatology, The Second Hospital of Jilin University, Changchun, People’s Republic of China, E-mails: emerald_zhang@jlu.edu.cn, lvsha17@mails.jlu.edu.cn, liuzhe20@mails.jlu.edu.cn, and lifuqiu1234@126.com.
| Past two years | Past Year | Past 30 Days | |
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