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Journal of Clinical Microbiology, October 2003, p. 4779-4782, Vol. 41, No. 10
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.10.4779-4782.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.

Exophiala oligosperma Causing Olecranon Bursitis

A. D. Bossler,1 S. S. Richter,1 A. J. Chavez,1 S. A. Vogelgesang,2 D. A. Sutton,3 A. M. Grooters,4 M. G. Rinaldi,3 G. S. de Hoog,5 and M. A Pfaller1*

Department of Pathology,1 Department of Internal Medicine, University of Iowa Roy J.Lucille A. Carver College of Medicine, Iowa City, Iowa,2 University of Texas Health Science Center, San Antonio, Texas,3 Louisiana State University School of Veterinary Medicine, Baton Rouge, Louisiana,4 Centraalbureau voor Schimmelcultures, Utrecht, The Netherlands5

Received 17 March 2003/ Returned for modification 9 May 2003/ Accepted 2 June 2003

A 62-year-old male with a history of Wegener's granulomatosis and immunosuppressive therapy presented with chronic olecranon bursitis. A black velvety mould with brown septate hyphae and tapered annellides was isolated from a left elbow bursa aspirate and was identified as an Exophiala species. Internal transcribed sequence rRNA sequencing showed the isolate to be identical to Exophiala oligosperma. The patient was successfully treated with aspiration and intrabursal amphotericin B.

* Corresponding author. Mailing address: Department of Pathology, University of Iowa, 200 Hawkins Dr., Room C606B, Iowa City, IA 52240. Phone: (319) 384-9566. Fax: (319) 356-4916. E-mail: michael-pfaller{at}uiowa.edu.

Journal of Clinical Microbiology, October 2003, p. 4779-4782, Vol. 41, No. 10
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.10.4779-4782.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.



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