Case Reports
5 February 2025
Vol. 17 No. 3 (2025)
Autochthonous Emergomyces pasteurianus subcutaneous infection in an Italian immunocompromised patient: case report and review
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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We describe the second case of infection by Emergomyces pasteurianus in Italy. The patient presented ulcerated nodular lesions primarily in the forehead, beneath the orbital and nasal areas, but also in the neck and fingers in the early stages. Treatment involved amphotericin B, followed by long-term itraconazole, which resulted in complete clinical resolution. A review of the literature is also included.
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Citations
1. Dukik K, Muñoz JF, Jiang Y, et al. Novel Taxa of Thermally Dimorphic Systemic Pathogens in the Ajellomycetaceae (Onygenales). Mycoses 2017;60:296-309.
2. Jiang Y, Dukik K, Muñoz JF, et al. Phylogeny, Ecology and Taxonomy of Systemic Pathogens and Their Relatives in Ajellomycetaceae (Onygenales): Blastomyces, Emergomyces, Emmonsia, Emmonsiellopsis. Fungal Divers 2018;90:245-91.
3. Gori S, Drouhet E, Gueho E, et al. Cutaneous Disseminated Mycosis in a Patient with AIDS Due to a New Dimorphic Fungus. J Mycol Med 1998;8:57-63.
4. Drouhet E, Gueho E, Gori S, et al. Mycological, Ultrastructural and Experimental Aspects of a New Dimorphic Fungus, Emmonsia pasteuriana sp. Nov. Isolated from a Cutaneous Disseminated Mycosis in AIDS. J Mycol Med 1998;8:64-77.
5. Pelegrín I, Alastruey-Izquierdo A, Ayats J, et al. A Second Look at Emmonsia Infection Can Make the Difference. Transpl Infect Dis 2014;16:519-20.
6. Kenyon C, Bonorchis K, Corcoran C, et al. A Dimorphic Fungus Causing Disseminated Infection in South Africa. N Engl J Med 2013;369:1416-24.
7. Maphanga TG, Britz E, Zulu TG, et al. In Vitro Antifungal Susceptibility of Yeast and Mold Phases of Isolates of Dimorphic Fungal Pathogen Emergomyces africanus (formerly Emmonsia sp.) from HIV-Infected South African Patients. J Clin Microbiol 2017;55:1812-20.
8. Schwartz IS, Kenyon C, Lehloenya R, et al. AIDS-Related Endemic Mycoses in Western Cape, South Africa, and Clinical Mimics: A Cross-Sectional Study of Adults with Advanced HIV and Recent-Onset, Widespread Skin Lesions. Open Forum Infect Dis 2017;4:ofx186.
9. Feng P, Yin S, Zhu G, et al. Disseminated Infection Caused by Emmonsia pasteuriana in a Renal Transplant Recipient. J Dermatol 2015;42:1179-82.
10. Tang XH, Zhou H, Zhang XQ, et al. Cutaneous Disseminated Emmonsiosis Due to Emmonsia pasteuriana in a Patient with Cytomegalovirus Enteritis. JAMA Dermatol 2015;151:1263-4.
11. Malik R, Capoor MR, Vanidassane I, et al. Disseminated Emmonsia pasteuriana Infection in India: A Case Report and a Review. Mycoses 2016;59:127-32.
12. Lavergne R-A, Kandel-Aznar C, Khatchatourian L, et al. Emmonsia pasteuriana: une cause rare d’infection fongique chez l’immunodéprimé. J Mycol Med 2017;27:e7-e8.
13. Chick KK, To WK. Autochtonous Emergomyces pasteurianus Pneumonia in an Immunocompromised Patient in Hong Kong: A Case Report. Hong Kong Med J 2020;26:446-8.
14. Capoor MR, Mishra N, Kolte S, et al. Disseminated Emergomyces pasteurianus Infection in India: A Case Report and a Review. Mycopathologia 2020;185:193-200.
15. Rooms I, Mugisha P, Gambicher E, et al. Disseminated Emergomycosis in a Person with HIV Infection, Uganda. Emerg Infect Dis 2019;25:1750-1.
16. Gast KB, van der Hoeven A, de Boer MGJ, et al. Two Cases of Emergomyces pasteurianus Infection in Immunocompromised Patients in the Netherlands. Med Mycol Case Rep 2019;24:5-8.
17. Pierce J, Sayeed S, Doern CD, et al. Emergomyces pasteurianus in Man Returning to the United States from Liberia and Review of the Literature. Emerg Infect Dis 2023;29:635-9.
18. Dellière S, Rivero-Menendez O, Gautier C, et al. Emerging Mould Infections: Get Prepared to Meet Unexpected Fungi in Your Patient. Med Mycol 2020;58:156-62.
19. Schwartz IS, Govender NP, Sigler L, et al. Emergomyces: The Global Rise of New Dimorphic Fungal Pathogens. PLOS Pathogens 2019;15:e1007977.
20. Ashraf N, Kubat RC, Poplin V, et al. Re-Drawing the Maps for Endemic Mycoses. Mycopathologia 2020;185:843-65.
How to Cite
Autochthonous Emergomyces pasteurianus subcutaneous infection in an Italian immunocompromised patient: case report and review. (2025). Dermatology Reports, 17(3). https://doi.org/10.4081/dr.2025.10251
Copyright (c) 2025 the Author(s)
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