J Med Assoc Thai 2000; 83 (1):42

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Reproductive Outcome Following Hysteroscopic Lysis of Intrauterine Adhesions: A Result of 65 Cases at Ramathibodi Hospital
Preutthipan S Mail, Linasmita V

Phaeohyphomycosis caused by
Phialophora parasitica
is rare and it has never been
documented in Thailand. The first two Thai cases of phaeohyphomycosis caused by
P. parasitica
were recognized in early 1990 at Ramathibodi Hospital, Bangkok, Thailand. Both patients had
underlying diseases. The fungus developed in abscesses with pigmented mycelium at the
lower extremity. Cultures from pus and tissue biopsies were positive for dematiaceous fungi. Light
microscopic features suggested
P. parasitica
and which was illustrated by both scanning and
transmission electron microscope. The first case was treated with itraconazole with a satisfactory
initial response. The second case was successfully treated by surgical removal of the entire
lesion.
Key word : Phaeohyphomycosis,
Phialophora parasitica

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