Atypical clinical presentation of an Arthroderma gypseum infection in a renal transplant recipient

• Published in: Revista do Instituto de Medicina Tropical de São Paulo
• Main Authors: Walter Belda Junior, Paulo Ricardo Criado
• Format: Article in Journal/Newspaper
• Language: English
• Published: Universidade de São Paulo (USP) 2020
• Subjects: Arthroderma gypseum; Dermatophytes; Transplanted patient; Arctic medicine. Tropical medicine; RC955-962; Infectious and parasitic diseases; RC109-216; Arctic
• Online Access: https://doi.org/10.1590/s1678-9946202062042; https://doaj.org/article/23bfa6d6f44544f1a3872004ab7ff724

ABSTRACT Dermatophytes are known as a common cause of superficial mycosis, but atypical presentations in immunosuppressed patients make the diagnosis more challenging. Here, we report a case of a 39-year-old patient, a renal transplant recipient from a living donor, who presented with atypical cutaneous lesions of lower extremities caused by Arthroderma gypseum (Nannizzia gypsea), four months after receiving a renal transplant. It is important to highlight the importance of the early detection of fungal infections in immunosuppressed patients. Clinicians should have a high degree of suspicion for the early detection and treatment of the cases.