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J Postgrad Med ; 63(3): 200-202, 2017.
Article in English | MEDLINE | ID: mdl-28272067

ABSTRACT

Scedosporium apiospermum, an ubiquitous filamentous fungus, a known cause of mycetoma, is emerging as an opportunistic pathogen in immunocompromised individuals. We report a case of painful foot abscess in a renal allograft recipient on immunosuppressive therapy, which was clinically diagnosed as a suppurative bacterial abscess. Pus was aspirated, which showed septate, branching hyphal elements and culture on Sabouraud's dextrose agar yielded S. apiospermum, which was identified based on its macroscopic and microscopic features. There are very few reports of scedosporiasis from India. High index of suspicion for unusual fungal infection helps in prompt etiological diagnosis in a transplant recipient and rapid management prevents further dissemination.


Subject(s)
Mycetoma/diagnosis , Mycoses/diagnosis , Scedosporium/isolation & purification , Staphylococcus aureus/isolation & purification , Transplant Recipients , Adult , Antifungal Agents/therapeutic use , Female , Humans , Immunocompromised Host , Kidney Transplantation , Mycetoma/drug therapy , Mycoses/drug therapy , Treatment Outcome , Voriconazole/therapeutic use
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