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Published on: July 11, 2013

Persistent erythematous plaque after minor trauma in an immunocompromised woman

Rana Mays1, Rachel Gordon, Janice M Wilson

  • 1Center for Clinical Studies, Webster, Texas, USA.

Dermatology Online Journal
|May 8, 2012
PubMed

Insights

Scedosporium apiospermum, a soil fungus, can cause severe infections. This case highlights diagnosis via biopsy and culture for cutaneous infections, emphasizing combined surgical and antifungal treatment.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Dermatology

Background:

  • Scedosporium apiospermum is a globally distributed soil fungus.
  • This fungus is known to cause diverse clinical manifestations, ranging from superficial skin infections to severe systemic illnesses.

Observation:

  • An elderly, immunocompromised woman presented with a persistent erythematous plaque on her elbow following minor trauma.
  • Diagnostic biopsy and culture confirmed the presence of Scedosporium apiospermum.

Findings:

  • Cutaneous infections caused by Scedosporium apiospermum require accurate diagnosis through biopsy and culture.
  • The identified fungal species was Scedosporium apiospermum.

Implications:

  • Effective treatment for Scedosporium apiospermum infections typically involves a combination of surgical intervention and antifungal medication.
  • Early diagnosis and appropriate management are crucial for improving outcomes in patients with Scedosporium apiospermum infections, particularly in immunocompromised individuals.

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