RESUMO
Resumen Scedosporium es un hongo de distribución mundial que se encuentra en el suelo y enaguas contaminadas. Raramente afecta tejido óseo y puede hacerlo por inoculación directa através de traumatismos. Se presenta el caso clínico de un paciente de 54 a˜nos con antecedentede accidente acuático y fractura expuesta de tibia-peroné de ambos miembros inferiores, condiagnóstico de osteomielitis crónica bacteriana tratada con antibióticos de amplio espectropor 120 días. Luego de ocho meses iniciado el cuadro, se aísla Scedosporium spp. en colecciónde miembro afectado; por tal motivo, el paciente recibe terapia con voriconazol asociado aterbinafina.© 2019 Asociacion Argentina de Microbiologıa. Publicado por Elsevier Espana, S.L.U. Este es unarticulo Open Access bajo la licencia CC BY-NC-ND (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Abstract Scedosporium is a fungus that has a worldwide distribution, and which can be foundin soil and contaminated water. It can rarely affect bone tissue and can do it either by directinoculation or through trauma. We present here a case of a 54- year- old male patient with adiagnosis of chronic bacterial osteomyelitis due to an aquatic accident and exposed fracture of tibia-fibula of both members, which was treated with broad-spectrum antibiotics for 120days. Eight months after the onset of the disease, Scedosporium spp. was isolated from thecollection of one of the affected member, which was treated with voriconazole in combinationwith terbinafine.© 2019 Asociacion Argentina de Microbiologıa. Published by Elsevier Espana, S.L.U. This is anopen access article under the CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Osteomielite/microbiologia , Scedosporium/isolamento & purificação , Infecções Fúngicas InvasivasRESUMO
Scedosporium is a fungus that has a worldwide distribution, and which can be found in soil and contaminated water. It can rarely affect bone tissue and can do it either by direct inoculation or through trauma. We present here a case of a 54- year- old male patient with a diagnosis of chronic bacterial osteomyelitis due to an aquatic accident and exposed fracture of tibia-fibula of both members, which was treated with broad-spectrum antibiotics for 120 days. Eight months after the onset of the disease, Scedosporium spp. was isolated from the collection of one of the affected member, which was treated with voriconazole in combination with terbinafine.
