Cutaneous Scedosporium apiospermum infection in an immunocompromised patient and a review of the literature.
Scedosporium apiospermum (also known as Pseudallescheria boydii) is a ubiquitous filamentous fungus. This fungus is known as a cause of mycetoma, which may occur in a normally immune host following trauma. However, in an immunocompromised host, S. apiospermum may cause a life-threatening infection. We describe a case of S. apiospermum infection of the right hand in a patient who was receiving long-term immunosuppressants for adult Still's disease. We also review the cases of S. apiospermum infection with cutaneous manifestations reported between 1998 and 2003.
Uenotsuchi
Takeshi
T
Department of Dermatology, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan. uenotti@dermatol.med.kyushu-u.ac.jp
Moroi
Yoichi
Y
Urabe
Kazunori
K
Tsuji
Gaku
G
Koga
Tetsuya
T
Matsuda
Tetsuo
T
Furue
Masutaka
M
D000368:Aged; D003937:Diagnosis, Differential; D006225:Hand / Q000473:pathology; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008271:Mycetoma / Q000175:diagnosis* / Q000473:pathology; D021681:Scedosporium / Q000302:isolation & purification*; D016706:Still's Disease, Adult-Onset