Evidence map›Paper›PMID 30116965›Full record

ReviewMycopathologia2018

Human Cutaneous Protothecosis: A Case Report and Review of Cases from Mainland China, Hong Kong, and Taiwan.

Fang Wang, Peiying Feng, Yimin Lin, Xiaohong Chen, Dandan Xu, Zhuo Wang, Jiande Han

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Mycopathologia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Bilateral Ulcers in Protothecosis: A Diagnostic Challenge.International journal of dermatology · 2026
    Article
  2. Article
  3. Successful Treatment of Cutaneous Protothecosis Due toClinical, cosmetic and investigational dermatology · 2024
    Article
  4. Simultaneous infection withMedical mycology case reports · 2023
    Article
  5. Article
  6. Cutaneous Protothecosis with Meningitis Due toInfection and drug resistance · 2021
    Article
  7. Multiple cutaneous infections caused by Prototheca wickerhamii.Journal of clinical laboratory analysis · 2020
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Fang WangDepartment of Dermatology, The First Affiliated Hospital, Sun Yat-sen University, No. 58, Zhongshan Er Road, Guangzhou, 510080, China.
Peiying FengDepartment of Dermatology, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510630, China.
Yimin LinDepartment of Chinese Traditional Medicine, The Eastern Hospital of the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510700, China.
Xiaohong ChenDepartment of Dermatology, The First Affiliated Hospital, Sun Yat-sen University, No. 58, Zhongshan Er Road, Guangzhou, 510080, China.
Dandan XuDepartment of Dermatology, The First Affiliated Hospital, Sun Yat-sen University, No. 58, Zhongshan Er Road, Guangzhou, 510080, China.
Zhuo WangDepartment of Pathology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, China.
Jiande HanDepartment of Dermatology, The First Affiliated Hospital, Sun Yat-sen University, No. 58, Zhongshan Er Road, Guangzhou, 510080, China. hanjdsums@aliyun.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a case of cutaneous protothecosis caused by Prototheca wickerhamii infection. The patient was a 72-year-old man with hypoalbuminemia. He responded well to fluconazole treatment. We reviewed this case along with 17 other cases of cutaneous protothecosis reported from mainland China, Hong Kong, and Taiwan. Of the 18 cases, 7 each occurred in mainland China and Taiwan, and 4 occurred in Hong Kong. Thirteen cases were caused by P. wickerhamii (72.2%), and three were caused by P. zopfii (16.7%); in two cases, the species was not identified (11.1%). In all, 9 (50%) patients were immunocompromised, and 10 (55.5%) patients denied having a history of trauma. All patients presented with polymorphic skin lesions, and erythematous papules, plaques, or nodules was the most common presentation (15/18, 83.3%). Genotyping was performed in five cases, mostly by means of small subunit ribosomal DNA amplification (four cases). Susceptibility tests (6 patients) showed that P. wickerhamii was sensitive to amphotericin B and voriconazole but resistant to fluconazole or itraconazole. Treatment succeeded in 15 (83.3%) patients and failed in 3 (16.7%). Our data indicate that the number of cutaneous protothecosis cases is underestimated in China, and the skin lesions have some diagnostic value.

Indexed as

AgedAnti-Infective AgentsChinaCluster AnalysisDNA, PlantDNA, RibosomalFluconazoleGenotypeHong KongHumansInfectionsMalePhylogenyProtothecaRNA, Ribosomal, 18SSequence Analysis, DNAAnti-Infective AgentsDNA, PlantDNA, RibosomalFluconazoleRNA, Ribosomal, 18SHypoalbuminemiaMainland ChinaProtothecaProtothecosisSkin lesionsTaiwan

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.