Back issues No.3 - 2002 / Case Report  

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Majocchi's granuloma caused by Trichophyton rubrum in a renal transplant recipient—A Case Report and Review of Literature—
Po-Yuan Wu Cheng-Yi Liu Shing-Fong Horng Jui-Lung Shen
Dermatol Sinica 20: 253-257, 2002

A 31-year-old male who received renal transplantation due to chronic renal failure more than one year ago, presented with several dark reddish-brown subcutaneous nodules on the dorsum of his toes and left lower leg for 1 month. A skin biopsy specimen revealed an inflammatory granulomatous reaction, and several fungal hyphae were revealed by periodic acid-Schiff stain. Trichophyton rubrum was isolated 3 weeks after fungal culture of the skin tissue and pus. He received terbinafine 250mg treatment for 3 weeks and the lesions improved much. When subcutaneous nodules were found in a patient who received immunosuppressive drugs with known chronic fungal infection before, we must keep in mind the possibility of Majocchi's granuloma.

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