"A fine needle aspiration cytology in time saves nine" - cutaneous phaeohyphomycosis caused by Exophiala jeanselmei in a renal transplant patient: Diagnosis by fine needle aspiration cytology

• DOI: 10.4103/0970-9371.175529
• Publication Date: 2016-03-31T12:22:34Z
• Authors: Shipra Agarwal; Prashant Joshi; Geetika Singh; Immaculata Xess; Dipankar Bhowmik
• Keywords: Phaeohyphomycosis; Cytopathology

Infections by dematiaceous fungi are an emerging group of infectious diseases worldwide with a variety clinical presentations. Though generally localized, they can disseminate in immunocompromised settings, therefore, early diagnosis and prompt therapy prevent significant morbidity mortality these patients. Fungi genus <i>Exophiala</i> common causative organisms; however, <i>Exophiala jeanselmei</i> (<i>E. jeanselmei</i>) has not yet been reported from environmental sources India. We present here the case renal transplant recipient who presented innocuous lesion on foot, diagnosed fine needle aspiration cytology (FNAC) as phaeohyphomycosis, promptly treated excision antifungal therapy. To best our knowledge, this is first report India <i>E. causing phaeohyphomycosis highlights role cytopathologist play timely management such cases.