A case of feohifomicosis caused by Phialophora verrucosa [Phialophora verrucosa nin etken oldugu feohifomikoz olgusu]

In tropical climate regions, black fungal skin in fections may occur by traumatic ino - culation of the pathogens found in soil, trees or damaged plants. Black fungus often causes infections in immunosuppressive patients while a rare culprit in healthy individuals. In this article, a case of 72 years old female with phaeohyphomycosis due to Phialophora verrucosa has been presented. The lesion had begun as a small papule on the right ankle that had started 1 year ago, which turned out to be an ulcerated nodule. The patient was leading a life in rural district and was on systemic immunosuppressive treatment with a diagnosis of systemic sclerosis for 20 years. Treatment with itraconazole 400 mg/day for 4 months resulted with complete recovery. This case shows that though rarely, phaeohyphomycosis may be seen out of tropical regions and it should be considered in the differential diagnosis of nodular lesions