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Journal of Clinical Microbiology, June 2001, p. 2321-2324, Vol. 39, No. 6
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.6.2321-2324.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Phaeohyphomycotic Cyst Caused by Colletotrichum crassipes

Luiz Guilherme Martins Castro,1 Carlos da Silva Lacaz,2,3 Josep Guarro,4,5,* Josepa Gené,4,5 Elisabeth Maria Heins-Vaccari,2,3 Roseli Santos de Freitas Leite,2,3 Giovana Letícia Hernández Arriagada,2,3 Márcia Maria Ozaki Reguera,1 Eunice Miki Ito,1 Neusa Yuriko Sakai Valente,1 and Ricardo Spina Nunes1

Laboratório de Micologia Médica do Instituo de Medicina Tropical de São Paulo,2 Laboratório de Micologia Médica (LIM-53)3 and Serviço de Dermatologia1 do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, and Unitat de Microbiologia, Departament de Ciències Mèdiques Bàsiques, Facultat de Medicina i Ciències de la Salut, 43201 Reus,4 and Institut d'Estudis Avançats,5 Universitat Rovira i Virgili, Tarragona, Spain

Received 12 February 2001/Returned for modification 24 February 2001/Accepted 22 March 2001

A case of phaeohyphomycosis is reported in a male renal transplant recipient with a nodular lesion in the right leg who was treated with immunosuppressing drugs. The lesion consisted of a purulent cyst with thick walls. The cyst was excised surgically, and the patient did not receive any antifungal therapy. One year later he remains well. Histological study of the lesion showed a granulomatous reaction of epithelioid and multinucleate giant cells, with a central area of necrosis and pus. Fontana-Masson staining demonstrated the presence of pigmented hyphal elements. The fungus Colletotrichum crassipes was grown in different cultures from the cyst. The in vitro inhibitory activities of eight antifungal drugs against the isolate were tested. Clotrimazole and UR-9825 were the most active drugs. This case represents the first known reported infection caused by this rare species.

* Corresponding author. Mailing address: Unitat de Microbiologia, Departament de Ciències Mèdiques Bàsiques, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili, Carrer Sant Llorenç 21, 43201-Reus, Tarragona, Spain. Phone: 34 977759359. Fax: 34 977759322. E-mail: umb{at}fmcs.urv.es.

Journal of Clinical Microbiology, June 2001, p. 2321-2324, Vol. 39, No. 6
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.6.2321-2324.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.


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