Alternaria: Difference between revisions
From IDWiki
Alternaria
(Initial page creation) Â |
(→â€: links) |
||
| Line 16: | Line 16: | ||
== Management == |
== Management == |
||
* Wide excisional surgery, treatment with itraconazole, voriconazole, posaconazole and amphotericin B |
* Wide excisional surgery, treatment with [[Is treated by::itraconazole]], [[Is treated by::voriconazole]], [[Is treated by::posaconazole]] and [[Is treated by::amphotericin B]] |
||
* High MICS to echinocandins, may be possibly be used in combination |
* High MICS to echinocandins, may be possibly be used in combination |
||
Revision as of 01:55, 21 November 2019
- A dematiaceous mold that mainly causes cutaneous infections in immunocompromised patients
Clinical Presentation
- Predominantly causes cutaneous or subcutaneous lesions in immunocompromised patients
- Lesions are often on the dorsal part of the hands and feet, elbows, knees and pretibial area
Diagnosis
- Culture
- Colony
- Grows relatively rapidly (within 7 days) at 30ºC
- Grey to brown colonies with black reverse
- Microscopy
- Yellow-brownish hyphae with or without budding cells
- Muriform macroconidia
- Colony
- Ultimately require culture/microcroscopy +/- DNA targets to make the identification
Management
- Wide excisional surgery, treatment with itraconazole, voriconazole, posaconazole and amphotericin B
- High MICS to echinocandins, may be possibly be used in combination
