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[Scedosporium spp. osteomyelitis: A case report]
Laura G R Colombo1, Eduardo R Gregorini1, Hernán Dalmaso2
1Laboratorio de Microbiología, Hospital Escuela Eva Perón, Granadero Baigorria, Santa Fe, Argentina.
Abstract:
Scedosporium is a fungus that has a worldwide distribution, and which can be found in soil and contaminated water. It can rarely affect bone tissue and can do it either by direct inoculation or through trauma. We present here a case of a 54- year- old male patient with a diagnosis of chronic bacterial osteomyelitis due to an aquatic accident and exposed fracture of tibia-fibula of both members, which was treated with broad-spectrum antibiotics for 120 days. Eight months after the onset of the disease, Scedosporium spp. was isolated from the collection of one of the affected member, which was treated with voriconazole in combination with terbinafine.
Insights
Scedosporium, a fungus found worldwide, rarely infects bone. This case highlights its fungal infection in chronic osteomyelitis following trauma, treated successfully with antifungal medications.
Area of Science:
- Mycology
- Infectious Diseases
- Orthopedic Surgery
Background:
- Scedosporium species are ubiquitous fungi found in soil and water.
- Fungal osteomyelitis is rare but can occur via direct inoculation or trauma.
- Chronic bacterial osteomyelitis presents a complex clinical challenge.
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