{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T06:46:59Z","timestamp":1775890019288,"version":"3.50.1"},"reference-count":54,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,3,17]],"date-time":"2014-03-17T00:00:00Z","timestamp":1395014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Dematiaceous, or dark\u2010pigmented, fungi are known to cause infections such as phaeohyphomycosis, chromoblastomycosis, and mycetoma. These fungi are becoming increasingly important opportunistic pathogens in solid organ transplant recipients (<jats:styled-content style=\"fixed-case\">SOTR<\/jats:styled-content>). We present a retrospective chart review of 27 <jats:styled-content style=\"fixed-case\">SOTR<\/jats:styled-content> who developed phaeohyphomycosis infections post transplant from 1988 to 2009.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cases were reviewed for fungal species isolated, date and source of culture, immunosuppressive and fungal therapy used, and outcome. The majority of isolates obtained were from the skin and soft tissue, with 3 pulmonary and brain abscesses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The time from transplantation to onset of infection ranged from 2\u00a0months to 11\u00a0years. The species isolated were <jats:italic><jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>xophiala<\/jats:italic> (11), <jats:italic><jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>chroconis<\/jats:italic> (3), <jats:italic><jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>lternaria<\/jats:italic> (2), <jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>homa<\/jats:italic> (2), <jats:italic><jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>angiella<\/jats:italic> (1), <jats:italic><jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ladosporium<\/jats:italic> (1), <jats:italic><jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ureobasidium<\/jats:italic> (1), <jats:italic><jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>haetomium<\/jats:italic> (1), <jats:italic><jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>oniothyrium<\/jats:italic> (1), and non\u2010sporulating fungi (2). An additional 4 patients had infections confirmed by pathology, but no cultures were done. Most of the affected skin lesions were surgically debrided and treated with itraconazole; 2 patients were treated with voriconazole and 2 with amphotericin D. Death from fungal disease occurred only in patients with pulmonary and brain abscesses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>As <jats:styled-content style=\"fixed-case\">the number of SOTR<\/jats:styled-content> increases, so does the incidence of fungal infections in that population. Surgery, along with antifungal therapy and a reduction in immunosuppression, are the cornerstones of treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tid.12197","type":"journal-article","created":{"date-parts":[[2014,3,17]],"date-time":"2014-03-17T06:37:27Z","timestamp":1395038247000},"page":"270-278","source":"Crossref","is-referenced-by-count":76,"title":["Phaeohyphomycosis fungal infections in solid organ transplant recipients: clinical presentation, pathology, and treatment"],"prefix":"10.1111","volume":"16","author":[{"given":"J.S.","family":"Schieffelin","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Section of Infectious Diseases Tulane University School of Medicine New Orleans Louisiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.B.","family":"Garcia\u2010Diaz","sequence":"additional","affiliation":[{"name":"Infectious Diseases Ochsner Clinic Foundation New Orleans Louisiana USA"},{"name":"The University of Queensland School of Medicine Ochsner Clinical School New Orleans Louisiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr","given":"G.E.","family":"Loss","sequence":"additional","affiliation":[{"name":"The University of Queensland School of Medicine Ochsner Clinical School New Orleans Louisiana USA"},{"name":"Multi\u2010Organ Transplant Center Ochsner Clinic Foundation New Orleans Louisiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.N.","family":"Beckman","sequence":"additional","affiliation":[{"name":"Anatomic Pathology Ochsner Clinic Foundation New Orleans Louisiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.A.","family":"Keller","sequence":"additional","affiliation":[{"name":"Dermatology Audie L. 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