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- Cutaneous Phaeohyphomycosis Caused by Alternaria alternata Unresponsive to Itraconazole TreatmentPublication . Gomes, J; Vilarinho, C; Duarte, ML; Brito, CCutaneous alternariosis is an opportunistic infection that has been described mainly in patients treated with corticosteroids. We report a case of dermal alternariosis occurring in a woman treated with corticosteroids after a neurosurgery that was unresponsive to itraconazole. Treatment with intravenous voriconazole was initiated, followed by oral protocol, with marked improvement of the lesions.