Abstract

Scedosporium(S.) apiospermum has been isolated from polluted water, soil, sewage and potted plants in a hospital with low virulence. The localized skin infection due to S. apiospermum is rare and usually results from traumatic implantation of contaminated material due to a penetrating injury. We report a case of skin infection due to S. apiospermum in a 78-year-old female. She had multiple nodules, pustules and exudative ulcerative lesions at the right forearm. Cultured isolation for definitive diagnosis showed typical S. apiospermum. Treatment was started with itraconazole effectively, but skin lesions were recurred after 4 months, and then cured with voriconazole with no recurrence.

Keywords

Scedosporium apiospermum Skin infection Itraconazole Voriconazole

KJMM 2008 December;13(4):187-191(5). Epub 2016 February 18
Copyright © 2008 by Korean Journal of Medical Mycology

Language

Korean/English

Author

Yong Geun Jeong; Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Republic of Korea
In Gyu Bae; Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Republic of Korea
Min Hee Lim; Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Republic of Korea
Jae Hee Kim; Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Republic of Korea
Min Kyung Gang; Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Republic of Korea
Sun joo Kim; Department of Laboratory Medicine; Gyeongsang Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju, Republic of Korea
Sang Taek Heo; Department of Gyeongsang Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju, Republic of Korea

Corresponding

Sang Taek Heo, Department of Gyeongsang Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju, Republic of Korea. Tel: (055) 750-8874, Fax: (055) 755-9078, e-mail: cadevar@yahoo.co.kr

Publication history

Acknowledgements

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Yong Geun Jeong

Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Republic of Korea

In Gyu Bae

Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Republic of Korea

Min Hee Lim

Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Republic of Korea

Jae Hee Kim

Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Republic of Korea

Min Kyung Gang

Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Republic of Korea

Sun joo Kim

Department of Laboratory Medicine; Gyeongsang Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju, Republic of Korea

Sang Taek Heo

Department of Gyeongsang Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju, Republic of Korea

Since epub date 2016 February 18