Disease: Protothecosis

Simultaneous infection with Fusarium proliferatum and Prototheca wickerhamii localized at different body sites

An 81-year-old woman taking long-term steroid medication developed two different fungal skin infections on her hands simultaneously – one on the right hand from a moldy wooden frame and one on the left hand possibly from sewage exposure. Doctors identified both fungi through microscopy and genetic testing. She was successfully treated with an antifungal medication called voriconazole for four weeks and recovered completely.

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First isolation of Prototheca bovis from a bottlenose dolphin (Tursiops truncatus)

A 13-year-old bottlenose dolphin at a Japanese aquarium developed a stomach infection caused by Prototheca bovis, a type of alga rarely found in marine animals. The dolphin initially received treatment with itraconazole for a suspected fungal infection, but this was ineffective. When doctors identified the actual culprit as P. bovis through genetic testing, they switched to fos-ravuconazole, which successfully resolved the infection and returned the dolphin to good health.

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