Post-Traumatic Skin Lesion Caused by Scedosporium Apiospermum in an Immunocompetent Patient: Case Report

Francisco Javier García García, Íñigo Crespo Cullel, Samuel López Alonso, Carlos Cano Gala, Juan Jiménez Viseu Pinheiro and Juan Francisco Blanco

Department of Orthopedic Surgery and Traumatology, University Hospital of Salamanca, Spain

^*Correspondance to: Juan Francisco Blanco 

 PDF  Full Text DOI: 10.25107/2474-1647.2580

Abstract

Scedosporium apiospermum is a saprophytic filamentous fungus that can cause infections of the skin, respiratory system, central nervous system, and bones. It affects mainly to immunosuppressed patients, but also and more rarely to immunocompetent patients. In these cases the organisms typically cause acute inflammation of the dermis or subcutaneous tissues, with erythema, subcutaneous nodules, and ulcer formation. The early diagnosis for this fungus is essential and voriconazole is an effective antifungal treatment, together with aggressive cleaning and surgical debridement. We report a S. apiospermum infection in a 77-year-old man who suffered a rabbit scratch in his left hand.

Keywords

Scedosporium apiospermum; Immunocompetent; Voriconazole

Cite the article

García García FJ, Cullel ÍC, Alonso SL, Gala CC, Viseu Pinheiro JJ, Blanco JF. Post-Traumatic Skin Lesion Caused by Scedosporium Apiospermum in an Immunocompetent Patient: Case Report. Clin Surg. 2019; 4: 2580..