Scedosporium apiospermum otomycosis.
We present a case of Scedosporium apiospermum otomycosis in an immunocompetent 62-year-old woman presumably inoculated as a child in Vietnam. She had life-long recurrent symptoms of chronic otomastoiditis and otorrhea. The organism was identified in an unexpected wound infection after a modified radical mastoidectomy done for chronic otitis media. Treatment consisted of local debridement of necrotic tissue, topical wound care, and long-term systemic antifungals.
Baumgartner
Brian J
BJ
Department of Otolaryngology-Head and Neck Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA. brianis@doctor.com
Rakita
Robert M
RM
Backous
Douglas D
DD
D000935:Antifungal Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D008271:Mycetoma / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D010031:Otitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D021681:Scedosporium / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D014433:Tympanoplasty
D000935:Antifungal Agents