Document 0398
 DOCN  M9650398
 TI    Mycetoma due to Exophiala jeanselmei and Mycobacterium chelonae in a
       73-year-old man with idiopathic CD4+ T lymphocytopenia.
 DT    9605
 AU    Neumeister B; Zollner TM; Krieger D; Sterry W; Marre R; Abteilung
       Medizinische Mikrobiologie und Hygiene, Instituts fur; Medizinische
       Mikrobiologie und Immunologie, Ulm, Germany.
 SO    Mycoses. 1995 Jul-Aug;38(7-8):271-6. Unique Identifier : AIDSLINE
       MED/96129847
 AB    Exophiala jeanselmei and Mycobacterium chelonae were isolated from
       cutaneous nodules in a 73-year-old man with mycetoma of the right lower
       leg. Further evaluation revealed CD4+ lymphocytopenia without evidence
       of HIV infection. Antibodies to HIV 1/2, p24 antigen and HIV 1/2 (PCR)
       and reverse transcriptase activity were not detectable. The patient was
       not a member of any HIV risk group. He had not previously undergone
       therapy or suffered from immunodeficiency. This case clearly
       demonstrates that infections with opportunistic moulds and/or atypical
       mycobacteria should be taken into consideration not only in patients
       with classical immundeficiency diseases but also in apparently healthy
       patients because infection with these agents can be the first sign of
       underlying immunodeficiency.
 DE    Aged  Case Report  Dermatomycoses/COMPLICATIONS/*MICROBIOLOGY
       Exophiala/*ISOLATION & PURIF  Human  Leg
       Dermatoses/COMPLICATIONS/*MICROBIOLOGY
       Maduromycosis/COMPLICATIONS/*MICROBIOLOGY  Male  Mycobacterium
       chelonae/*ISOLATION & PURIF  T-Lymphocytopenia, Idiopathic
       CD4-Positive/*COMPLICATIONS  JOURNAL ARTICLE

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