crossmark
Photo Quiz (For answer and discussion, see page 1409 in this issue [doi:10.1128/JCM.01250-14].)
A Cutaneous Lesion in a 66-Year-Old Traveler Returning from Thailand Florent Morio,a Sébastien Barbarot,b Samuel Pineau,c Hélène Aubert,b Dea Garcia-Hermoso,d Sybren de Hoog,e Rose-Anne Lavergne,a Patrice Le Papea Laboratory of Parasitology and Medical Mycology, Nantes University Hospital, Nantes, Francea; Department of Dermatology, Nantes University Hospital, Nantes, Franceb; Department of Infectious Diseases, Nantes University Hospital, Nantes, Francec; Institut Pasteur, French National Reference Center for Invasive Mycoses and Antifungals, Molecular Mycology Unit, Paris, Franced; Centraalbureau voor Schimmelcultures Fungal Biodiversity Centre, Utrecht, the Netherlandse
FIG 1 (Left) Cutaneous lesion involving the back of the left leg; (right) histopathological examination of the skin biopsy specimen (periodic acid-Schiff staining; magnification, ⫻400).
A
66-year-old male patient was referred to the dermatology department at our hospital in June 2013 for a single cutaneous lesion located in the back of his left leg. Recent empirical treatment with oral and topical antibiotics had been ineffective. On examination, the lesion (1 cm in diameter), which had evolved since December 2012, appeared nodular, inflammatory, and ulcerating but was painless and nonpruritic (Fig. 1, left). No other lesion was observed. The patient was in good general condition, had no fever, and had no significant medical history. He reported a 2-week travel to Thailand in November 2012. Histopathological examination of a skin biopsy specimen evidenced several granulomas
May 2016 Volume 54 Number 5
and giant cells in the dermis, along with some melanized elements (5 to 10 m in diameter), highlighted in Fig. 1, right panel. Citation Morio F, Barbarot S, Pineau S, Aubert H, Garcia-Hermoso D, de Hoog S, Lavergne R-A, Le Pape P. 2016. A cutaneous lesion in a 66-year-old traveler returning from Thailand. J Clin Microbiol 54:1179. doi:10.1128/JCM.01248-14. Editor: P. Bourbeau Address correspondence to Florent Morio, [email protected]. Copyright © 2016, American Society for Microbiology. All Rights Reserved.
Journal of Clinical Microbiology
jcm.asm.org
1179
Photo Quiz (For answer and discussion, see page 1409 in this issue [doi:10.1128/JCM.01250-14].)
A Cutaneous Lesion in a 66-Year-Old Traveler Returning from Thailand Florent Morio,a Sébastien Barbarot,b Samuel Pineau,c Hélène Aubert,b Dea Garcia-Hermoso,d Sybren de Hoog,e Rose-Anne Lavergne,a Patrice Le Papea Laboratory of Parasitology and Medical Mycology, Nantes University Hospital, Nantes, Francea; Department of Dermatology, Nantes University Hospital, Nantes, Franceb; Department of Infectious Diseases, Nantes University Hospital, Nantes, Francec; Institut Pasteur, French National Reference Center for Invasive Mycoses and Antifungals, Molecular Mycology Unit, Paris, Franced; Centraalbureau voor Schimmelcultures Fungal Biodiversity Centre, Utrecht, the Netherlandse
FIG 1 (Left) Cutaneous lesion involving the back of the left leg; (right) histopathological examination of the skin biopsy specimen (periodic acid-Schiff staining; magnification, ⫻400).
A
66-year-old male patient was referred to the dermatology department at our hospital in June 2013 for a single cutaneous lesion located in the back of his left leg. Recent empirical treatment with oral and topical antibiotics had been ineffective. On examination, the lesion (1 cm in diameter), which had evolved since December 2012, appeared nodular, inflammatory, and ulcerating but was painless and nonpruritic (Fig. 1, left). No other lesion was observed. The patient was in good general condition, had no fever, and had no significant medical history. He reported a 2-week travel to Thailand in November 2012. Histopathological examination of a skin biopsy specimen evidenced several granulomas
May 2016 Volume 54 Number 5
and giant cells in the dermis, along with some melanized elements (5 to 10 m in diameter), highlighted in Fig. 1, right panel. Citation Morio F, Barbarot S, Pineau S, Aubert H, Garcia-Hermoso D, de Hoog S, Lavergne R-A, Le Pape P. 2016. A cutaneous lesion in a 66-year-old traveler returning from Thailand. J Clin Microbiol 54:1179. doi:10.1128/JCM.01248-14. Editor: P. Bourbeau Address correspondence to Florent Morio, [email protected]. Copyright © 2016, American Society for Microbiology. All Rights Reserved.
Journal of Clinical Microbiology
jcm.asm.org
1179
