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VIGNETTES
Successful Thermotherapy for a Subcutaneous Infection Due to Alternaria alternata in a Renal Transplant Recipient
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Cutaneous and subcutaneous deep tissue infections due to Alternaria species tend to occur most often in immunodepressed patients. The most common clinical form, alternariosis, is considered a paheohyphomycosis.1 More than 90 cases of cutaneous alternariosis have been reported, most of them in Europe.2
We present herein the first case to our knowledge of subcutaneous alternariosis that was healed without the use of antifungal or surgical treatment. This was achieved by applying only persistent thermotherapy.
Report of a Case
A 55-year-old white male gardener presented with a progressive right knee lesion. He underwent peritoneal dialysis for renal insufficiency due to nefroangiosclerosis. In April 2001, he received a heterotopic renal cadaver transplant, crossmatch negative, without any surgical or medical complications. Prior to transplantation, he was treated with 1 mg/kg of daclizumab (4 doses), and after transplantation he received 0.10 mg/kg per day of tacrolimus, 2 g/d of mycophenolate mofetil, and 90 mg/d of prednisone. He was . . . [Full Text of this Article]
Comment
AUTHOR INFORMATION
Josep M. Torres-Rodríguez, MD;
Meritxell Pérez González, MD;
Josep M. Corominas, MD;
Ramón M. Pujol, MD
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