Saksenaea erythrospora infection following combat trauma

Duane R Hospenthal1, Kevin K Chung, Kimberly Lairet

  • 1Infectious Disease Service, Department of Medicine, San Antonio Military Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA. duane.hospenthal@us.army.mil

Insights

A newly identified fungus, Saksenaea erythrospora, caused a fatal burn wound infection in a combat soldier. This marks the first reported human infection by this Mucorales species.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Clinical Microbiology

Background:

  • The order Mucorales includes fungi that can cause opportunistic infections, particularly in immunocompromised individuals.
  • Emerging fungal pathogens pose a significant threat to public health, necessitating continuous surveillance and characterization.
  • Saksenaea erythrospora is a recently described species within the Mucorales, with limited information regarding its pathogenic potential in humans.

Observation:

  • A 26-year-old male with combat-related injuries developed a severe burn wound infection.
  • The infection rapidly progressed, leading to invasive disease.
  • Cultures from the wound site identified Saksenaea erythrospora as the causative agent.

Findings:

  • This case represents the first documented instance of human infection caused by Saksenaea erythrospora.
  • The fungus exhibited invasive behavior in a burn wound setting, resulting in a fatal outcome.
  • The identification of S. erythrospora highlights its potential as a human pathogen.

Implications:

  • This finding expands the spectrum of known human-pathogenic fungi within the Mucorales order.
  • It underscores the importance of considering rare or newly described fungal species in the diagnosis of severe infections, especially in vulnerable patient populations.
  • Further research is needed to understand the virulence factors and clinical spectrum of Saksenaea erythrospora infections.

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