PLANTAR INFECTION BY SCOPULARIOPSIS-BREVICAULIS

A 42-year-old woman presented with a web-defined pruritic erythematous scaly plaque on the sole of each foot. The lesions, first noted about 15 years previously, were located in the medial plantar region and ex tended laterally. Mycological study revealed infection by Scopulariops is brevicaulis. Treatment with oral itraconazole led to temporary impr ovement, but the symptoms returned after treatment had been stopped (p resumably due to re-infection from ungual foci). Similar results were subsequently obtained with oral terbinafine. S. brevicaulis is an aeti ologic agent of onychomycosis, panophthalmia following a penetrating e ye injury and generalized infections in immunocompromised patients, bu t it is not considered as habitual fungal pathogen of the skin. Cutane ous lesions caused by S. brevicaulis are very rare. Our case was resis tant to terbinafine and itracomazole.