First reported case of phaeohyphomycotic bursitis due to Paraconiothyrium estuarinum

IF 1.3 4区 医学 Q4 IMMUNOLOGY Indian Journal of Medical Microbiology Pub Date : 2025-03-28 DOI:10.1016/j.ijmmb.2025.100826
Mohamed Asarudeen S , Latha Ragunathan , Kavitha Kannaiyan , Pramodhini Subramanian , V. Vignesh , Aravind C. Sasi , Sherief Shebeena , Jaishma Rajni , R. Jenifer Raj
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Abstract

A 51-year-old male presented with right knee swelling with persistent pain for the past two weeks. Radiograph of the knee showed no bone abnormalities. Bursectomy was performed and the aspirated fluid was sent for laboratory analysis. Gram staining revealed fungal filaments, and culture on Sabouraud's dextrose agar yielded blackish-brown pigmented fungal colonies. Histopathological examination showed slender, septate hyphae. PCR sequencing identified Paraconiothyrium estuarinum as the causative agent. The patient was treated with itraconazole for 3 months with regular follow-up, resulting in clinical improvement. This case highlights the diagnostic challenges and therapeutic considerations in managing fungal bursitis caused by Paraconiothyrium estuarinum.
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口甲状旁腺所致嗜绿丝真菌性滑囊炎首例报道。
51岁男性,右膝肿胀,过去两周持续疼痛。膝关节x线片未见骨异常。进行粘液囊切除术,并将抽取的液体送去实验室分析。革兰氏染色显示真菌菌丝,在Sabouraud氏葡萄糖琼脂上培养得到黑褐色的真菌菌落。组织病理学检查显示菌丝纤细,分裂。经PCR测序鉴定,河口副甲状腺为病原菌。患者给予伊曲康唑治疗3个月,并定期随访,临床好转。本病例强调了诊断的挑战和治疗的考虑,在管理真菌滑囊炎引起的口甲状旁腺。
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来源期刊
CiteScore
2.20
自引率
0.00%
发文量
154
审稿时长
73 days
期刊介绍: Manuscripts of high standard in the form of original research, multicentric studies, meta analysis, are accepted. Current reports can be submitted as brief communications. Case reports must include review of current literature, clinical details, outcome and follow up. Letters to the editor must be a comment on or pertain to a manuscript already published in the IJMM or in relation to preliminary communication of a larger study. Review articles, Special Articles or Guest Editorials are accepted on invitation.
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