Abstract

Scedosporium(S) apiospermum is the asexual stage of Pseudallescheria boydii. The organism has been isolated from polluted water, soil, sewage and potted plants in a hospital with low virulence. This ubiquitous fungus causes not only mycetoma, but also infections of variety of body sites including the skin. Localized skin infection without grain production due to this organism is much rarer than mycetoma. Infection may occur via direct inoculation and usually affects the extremities. We report a case of localized cutaneous infection due to S. apiospermum which occurred in a 79-year old female. She presented multiple erythematous papulopustules on the right wrist. Culture isolation for definitive diagnosis showed S. apiospermum. The patient was treated successfully with oral itraconazole 200 mg daily for 4 weeks.

Keywords

Scedosporium apiospermum Localized cutaneous infection Itraconazole

KJMM 2011 December;16(4):196-200(5). Epub 2016 February 17
Copyright © 2011 by Korean Journal of Medical Mycology

Language

Korean/English

Author

Hyun Min Nam; Department of Dermatology, Wonkwang University School of Medicine, Iksan, Korea
Sun Yong Kwon; Department of Dermatology, Wonkwang University School of Medicine, Iksan, Korea
Ui Kyung Kim; Department of Dermatology, Wonkwang University School of Medicine, Iksan, Korea
Kun Park; Department of Dermatology, and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Korea
Seok Don Park; Department of Dermatology, and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Korea

Corresponding

Seok Don Park, Department of Dermatology, Wonkwang University School of Medicine, Iksan, Korea. Tel: (063) 859-1601, Fax: (063) 842-1895, e-mail: sdpark@wku.ac.kr

Publication history

Received 13 June 2011; Revised 21 June 2011; Accepted 21 June 2011.

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.

Hyun Min Nam

Department of Dermatology, Wonkwang University School of Medicine, Iksan, Korea

Sun Yong Kwon

Department of Dermatology, Wonkwang University School of Medicine, Iksan, Korea

Ui Kyung Kim

Department of Dermatology, Wonkwang University School of Medicine, Iksan, Korea

Kun Park

Department of Dermatology, and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Korea

Seok Don Park

Department of Dermatology, and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Korea

Since epub date 2016 February 17