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Fungal skin infections after liver transplantation

Fungal skin infections after liver transplantation
Fungi Comments
Opportunistic
Candida albicans Frequent in recipients of liver grafts (20%). The cutaneous lesions can result from direct inoculation or from seeding from hematogenous dissemination (Aspergillus fumigatus). Protean clinical manifestations. Appear as isolated or multiple subcutaneous nodules that are violaceous, and can be necrotic, forming abscesses. Voriconazole might be an efficient alternative to amphotericin B. Liver failure preceding transplantation may increase the risk of fungal infection. Such fungal infection may lead to plastic surgery for reconstruction.[1]
Aspergillus flavus
Aspergillus fumigatus
Candida parapsilosis
Candida tropicalis
Chromoblastomycosis  
Chromomycosis (Alternaria, Exophiala jeanselmei)
Cryptococcus neoformans
Fusarium spp[2]
Histoplasma capsulatum
Mycoleptodiscus indicus
Paecilomyces lilacinus
Scopulariopsis brevicaulis
Zygomycosis
Trichophyton rubrum or mentagrophytes Dermatophytosis is more frequent in patients living in tropical regions. Intertrigo and more unusual manifestations such as folliculitis, inflammatory plaques, invasive lesions, pseudotumoral lesions, and abscess may be seen.
Microsporum canis
Epidermophyton floccosum
Malassezia furfur Tinea versicolor can be found in 10 to 20% of recipients of a liver graft. Localization is commonly on the face and buttock. Lesions can be extensive and are sometimes hyperkeratotic.
References:
  1. Wiinholt A, Sværdborg M, Buhl J, et al. Severe midface necrosis after liver failure induced fungal infection: A case report on the outcome after reconstruction. Int J Surg Case Rep 2023; 110:108726.
  2. Oguz VA, Karabicak N, Irmak C, Unek T. Fusarium solani species complex infection treated with posaconazole in a liver transplantation patient; a case report. J Mycol Med 2023; 33:101382.
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