title: Prompt diagnosis ofScedosporium apiospermumsoft tissue infection: Life-saving in a renal transplant recipient.
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.
authors.affiliation: Department of Microbiology, ESI-Post Graduate Institute of Medical Sciences and Research and ESIC Medical College, Kolkata, West Bengal, India.
authors.forename: R
authors.initials: R
authors.lastname: Ghosh
authors.affiliation: Department of Dermatology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: P
authors.initials: P
authors.lastname: Mishra
authors.affiliation: Department of Microbiology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: P K
authors.initials: PK
authors.lastname: Maiti
authors.affiliation: Department of Microbiology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: A
authors.initials: A
authors.lastname: Debnandi
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D016030:Kidney Transplantation; D008271:Mycetoma / Q000175:diagnosis* / Q000188:drug therapy; D009181:Mycoses / Q000175:diagnosis* / Q000188:drug therapy; D021681:Scedosporium / Q000302:isolation & purification*; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D066027:Transplant Recipients; D016896:Treatment Outcome; D065819:Voriconazole / Q000627:therapeutic use
chemical_list: D000935:Antifungal Agents; D065819:Voriconazole