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Human Cutaneous Protothecosis: Report of a Case and Literature Review

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¼®À翬 ( Seok Jae-Yeon ) 
Gachon University Gil Medical Center Department of Pathology

ÀÌÀ±È£ ( Lee Yoon-Ho ) 
Kwandong University College of Medicine
ÀÌÇõ¹Î ( Lee Hyuk-Min ) 
Kwandong University College of Medicine Department of Laboratory Medicine
À̻󿱠( Yi Sang-Yeop ) 
Kwandong University College of Medicine Department of Pathology
¿ÀÈ­Àº ( Oh Hwa-Eun ) 
Kwandong University College of Medicine Department of Pathology
¼ÛÁö¼± ( Song Ji-Sun ) 
Kwandong University College of Medicine Department of Pathology

Abstract


The Prototheca species is achlorophyllic algae and rarely causes human infection. Human protothecosis presents clinically as a cutaneous infection, olecranon bursitis, and disseminated systemic disease. We report a case of human cutaneous protothecosis involving the left wrist. A 68-year-old man presented with an ill-defined erythematous lesion with crust at the dorsal aspect of his left wrist. A punch biopsy was performed to reveal the histologic features of granulomatous inflammation with necrosis at the upper dermis, containing Prototheca organisms, of which, the characteristic features were highlighted by special staining. Through a molecular study, the Prototheca zopfii species was identified.

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Prototheca; Cutaneous protothecosis; Prototheca zopfii

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