title: Scedosporium apiospermum otomycosis.
abstract: 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.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA. brianis@doctor.com
authors.forename: Brian J
authors.initials: BJ
authors.lastname: Baumgartner
authors.forename: Robert M
authors.initials: RM
authors.lastname: Rakita
authors.forename: Douglas D
authors.initials: DD
authors.lastname: Backous
mesh_terms: 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
chemical_list: D000935:Antifungal Agents