SUBCUTANEOUS PHEOHYPHOMYCOTIC CYST FROM A TRAUMATIC INJURY - REACTIVATION AFTER 35 YEARS

Pheohyphomycoses are an uncommon diverse group of dematiaceous fungi p resent in soil and plant material and are potential pathogens. We repo rt the case of a 45-year-old white Hispanic woman who presented with a hard round cyst on the dorsum of her right foot caused by a traumatic implantation of a piece of wood thirty-five years earlier. The cyst w as surgically excised and the patient empirically treated with a two-m onth course of oral itraconazole. To our knowledge, this represents a case of the longest-lived asymptomatic pheohyphomycotic cyst in an imm unocompetent person ever reported. The clinical manifestations, treatm ent options, and disease course are reviewed.