%0 Case Reports
%T Painless rash in a transplant patient.
%A Reis J
%A Coelho A
%A Lopes V
%A Gandara J
%A Cunha Velho G
%A Selores M
%J Transpl Infect Dis
%V 23
%N 4
%D Aug 2021
%M 33835649
暂无%R 10.1111/tid.13613
%X Dermatophytes are common keratinophilic fungi responsible for superficial skin infections. Deep dermatophytosis is a rare form of invasive skin infection described in immunocompromised patients. We report the case of a 65-year-old man with a history of an orthotopic liver transplant for hepatocarcinoma 6 months earlier, who presented with small painless erythematous papules in lower limbs, some of which were umbilicated. Skin biopsy showed an intense non-necrotizing granulomatous reaction in the dermis around fungal structures. Trichophyton rubrum was identified as the causal agent through culture and internal transcribed spacer sequencing.