{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T19:01:23Z","timestamp":1766516483087},"reference-count":13,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,1,11]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>Blastomycosis-like pyoderma (BLP) is an uncommon tissue response possibly to bacterial infection that presents as vegetative skin lesions usually in immunocompromised patients. <jats:italic>Staphylococcus aureus<\/jats:italic> is the most frequent pathogen implicated in BLP. Here, we report the case of a 32-year-old man who had ulcerative vegetating lesions on extremities for 3 months over preexisting recalcitrant tinea lesions. The patient was hypertensive with a history of chronic graft rejection after renal transplantation 8 months earlier and was on long-term immunosuppressants. Investigations revealed anemia, mild hyperglycemia, and elevated serum creatinine. Histopathology showed suppurative and fibrosing perifolliculitis with moderate pseudocarcinomatous hyperplasia and the culture of biopsy specimen demonstrated growth of <jats:italic>Escherichia coli<\/jats:italic> and <jats:italic>Citrobacter koseri<\/jats:italic>. The diagnosis of BLP overlying dermatophytoses was made. The skin lesions improved completely with parenteral antibiotics. Local immune dysregulation by dermatophytoses along with iatrogenic immunosuppression may have favored this rare pyoderma.<\/jats:p>","DOI":"10.4269\/ajtmh.22-0488","type":"journal-article","created":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T13:26:32Z","timestamp":1668432392000},"page":"31-33","source":"Crossref","is-referenced-by-count":1,"title":["Case Report: Disseminated Vegetating Plaques Occurring over Chronic Recalcitrant Dermatophytosis in an Immunocompromised Patient"],"prefix":"10.4269","volume":"108","author":[{"given":"Namrata","family":"Chhabra","sequence":"first","affiliation":[{"name":"Department of Dermatology, All India Institute of Medical Sciences, Raipur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saurabh","family":"Raut","sequence":"additional","affiliation":[{"name":"Department of Dermatology, All India Institute of Medical Sciences, Raipur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anju","family":"George C","sequence":"additional","affiliation":[{"name":"Department of Dermatology, All India Institute of Medical Sciences, Raipur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Mycoses","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1111\/j.1439-0507.2006.01191.x","article-title":"Chronic pyoderma vegetans triggered by Trichophyton mentagrophytes","volume":"49","author":"Skorepov\u00e1","year":"2006"},{"key":"b2","series-title":"Indian J Dermatol Venereol Leprol","doi-asserted-by":"publisher","first-page":"117","DOI":"10.4103\/0378-6323.31900","article-title":"Blastomycosis-like pyoderma","volume":"73","author":"Sawalka","year":"2007"},{"key":"b3","series-title":"Arch Dermatol","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1001\/archderm.1979.04010020016006","article-title":"Blastomycosis-like pyoderma","volume":"115","author":"Su","year":"1979"},{"key":"b4","series-title":"Australas J Dermatol","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1111\/ajd.12446","article-title":"Heterogeneity of blastomycosis-like pyoderma: a selection of cases from the last 35 years","volume":"58","author":"Scuderi","year":"2017"},{"key":"b5","series-title":"Indian J Dermatol Venereol Leprol","first-page":"226","article-title":"Blastomycosis-like Pyoderma","volume":"51","author":"Singh","year":"1985"},{"key":"b6","series-title":"Postgrad Med J","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1136\/pgmj.68.799.363","article-title":"Blastomycosis-like pyoderma in a case of chronic myeloid leukaemia","volume":"68","author":"Dutta","year":"1992"},{"key":"b7","series-title":"Indian J Dermatol Venereol Leprol","doi-asserted-by":"publisher","first-page":"720","DOI":"10.4103\/ijdvl.IJDVL_260_17","article-title":"Blastomycosis-like pyoderma: novel use of potassium iodide","volume":"83","author":"Borra","year":"2017"},{"key":"b8","series-title":"Indian J Dermatol Venereol Leprol","first-page":"58","article-title":"Blastomycosis-like pyoderma","volume":"56","author":"Kumar","year":"1990"},{"key":"b9","series-title":"J Clin Diagn Res","first-page":"WD03","article-title":"Blastomycosis-like pyoderma\u2014a rare case report","volume":"10","author":"Hongal","year":"2016"},{"key":"b10","series-title":"Am J Dermatopathol","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1097\/DAD.0b013e3181e5dfd7","article-title":"A case of blastomycosis-like pyoderma caused by mixed infection of Staphylococcus epidermidis and Trichophyton rubrum","volume":"33","author":"Ouchi","year":"2011"},{"key":"b11","series-title":"Arch Dermatol","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1001\/archderm.1957.01550130125015","article-title":"Mycosis like pyoderma","volume":"75","author":"Brown","year":"1957"},{"key":"b12","series-title":"Immunology","doi-asserted-by":"publisher","first-page":"474","DOI":"10.1111\/j.1365-2567.2010.03255.x","article-title":"T-cell exhaustion: characteristics, causes and conversion: T-cell exhaustion","volume":"129","author":"Yi","year":"2010"},{"key":"b13","series-title":"Ann Dermatol","doi-asserted-by":"publisher","first-page":"365","DOI":"10.5021\/ad.2011.23.3.365","article-title":"Blastomycosis like pyoderma with good response to acitretin","volume":"23","author":"Lee","year":"2011"}],"container-title":["The American Journal of Tropical Medicine and 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