{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T03:21:49Z","timestamp":1784776909981,"version":"3.55.0"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2016,11,4]],"date-time":"2016-11-04T00:00:00Z","timestamp":1478217600000},"content-version":"vor","delay-in-days":308,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Background. \u2003Coelomycetes are rarely but increasingly reported in association with human infections involving mostly skin and subcutaneous tissues, both in immunocompetent and immunocompromised patients. Coelomycetes constitute a heterogeneous group of filamentous fungi with distinct morphological characteristics in culture, namely an ability to produce asexual spores within fruit bodies.<\/jats:p>\n               <jats:p>Methods. \u2003We included all cases of proven primary cutaneous and\/or subcutaneous infections due to coelomycetes received for identification at the French National Reference Center for Invasive Mycoses and Antifungals between 2005 and 2014. Eumycetoma, chromoblastomycosis, and disseminated infections were excluded.<\/jats:p>\n               <jats:p>Results. \u2003Eighteen cases were analyzed. The median age was 60.5 years. In all cases, patients originated from tropical or subtropical areas. An underlying immunodepression was present in 89% of cases. Cutaneous and\/or subcutaneous lesions, mainly nodules, abscesses, or infiltrated plaques, were observed in distal body areas. Isolates of different genera of coelomycetes were identified: Medicopsis (6), Paraconiothyrium (3), Gloniopsis (3), Diaporthe (3), Peyronellaea (2), Lasiodiplodia (1). Lesion treatment consisted of complete (10) or partial (2) surgical excision and\/or the use of systemic antifungal therapy, namely voriconazole (5) and posaconazole (4). Literature review yielded 48 additional cases of cutaneous and\/or subcutaneous infections due to coelomycetes.<\/jats:p>\n               <jats:p>Conclusions. \u2003Infectious diseases physicians should suspect coelomycetes when observing cutaneous and\/or subcutaneous infections in immunocompromised hosts from tropical areas; a sequence-based approach is crucial for strains identification but must be supported by consistent phenotypic features; surgical treatment should be favored for solitary, well limited lesions; new triazoles may be used in case of extensive lesions, especially in immunocompromised patients.<\/jats:p>","DOI":"10.1093\/ofid\/ofw106","type":"journal-article","created":{"date-parts":[[2016,6,29]],"date-time":"2016-06-29T02:55:27Z","timestamp":1467168927000},"source":"Crossref","is-referenced-by-count":38,"title":["Ten-Year Experience of Cutaneous and\/or Subcutaneous Infections Due to Coelomycetes in France"],"prefix":"10.1093","volume":"3","author":[{"given":"Sarah","family":"Gu\u00e9gan","sequence":"first","affiliation":[{"name":"Assistance Publique-H\u00f4pitaux de Paris, Service de Dermatologie, H\u00f4pital Tenon"},{"name":"Universit\u00e9 Pierre et Marie Curie-Paris VI"},{"name":"Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale Unit\u00e9 938, Saint Antoine Research Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dea","family":"Garcia-Hermoso","sequence":"additional","affiliation":[{"name":"Institut Pasteur, Unit\u00e9 de Mycologie Mol\u00e9culaire, Centre National de R\u00e9f\u00e9rence Mycoses Invasives et Antifongiques"},{"name":"Centre National de la Recherche Scientifique Unit\u00e9 de Recherche Associ\u00e9e 3012, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karine","family":"Sitbon","sequence":"additional","affiliation":[{"name":"Institut Pasteur, Unit\u00e9 de Mycologie Mol\u00e9culaire, Centre National de R\u00e9f\u00e9rence Mycoses Invasives et Antifongiques"},{"name":"Centre National de la Recherche Scientifique Unit\u00e9 de Recherche Associ\u00e9e 3012, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Ahmed","sequence":"additional","affiliation":[{"name":"CBS-KNAW Fungal Biodiversity Centre, Utrecht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Moguelet","sequence":"additional","affiliation":[{"name":"Assistance Publique-H\u00f4pitaux de Paris, Service d'Anatomo-Pathologie, H\u00f4pital Tenon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7oise","family":"Dromer","sequence":"additional","affiliation":[{"name":"Institut Pasteur, Unit\u00e9 de Mycologie Mol\u00e9culaire, Centre National de R\u00e9f\u00e9rence Mycoses Invasives et Antifongiques"},{"name":"Centre National de la Recherche Scientifique Unit\u00e9 de Recherche Associ\u00e9e 3012, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Lortholary","sequence":"additional","affiliation":[{"name":"Institut Pasteur, Unit\u00e9 de Mycologie Mol\u00e9culaire, Centre National de R\u00e9f\u00e9rence Mycoses Invasives et Antifongiques"},{"name":"Centre National de la Recherche Scientifique Unit\u00e9 de Recherche Associ\u00e9e 3012, Paris, France"},{"name":"Assistance Publique-H\u00f4pitaux de Paris, Centre d'Infectiologie Necker Pasteur, H\u00f4pital Necker-Enfants Malades"},{"name":"Universit\u00e9 Ren\u00e9 Descartes-Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the French Mycosis Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Ait-Ammar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Dunand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Levy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Moulonguet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Zarrouk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Kubab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Th\u00e9pot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Gendrey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Beaubrun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. 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