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A surprising complication of breast augmentation surgery
Caroline Koan1, Rose J Venegas2, Richard A Murphy3,4
1Division of Infectious Diseases, Harbor-UCLA Medical Center, Torrance, CA, United States.
JPRAS Open
|December 22, 2021
Summary
Scedosporium apiospermum infections, often opportunistic, can affect even healthy individuals. This case highlights challenges in diagnosing and treating these fungal infections, particularly after medical procedures.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Clinical Case Reports
Background:
- Opportunistic fungal infections caused by Scedosporium species are increasingly prevalent.
- While commonly affecting immunocompromised individuals, Scedosporium infections can also occur in immunocompetent hosts, often via direct inoculation or near-drowning incidents.
Observation:
- A case of Scedosporium apiospermum infection is presented in a patient without known immune deficiencies.
- The infection manifested bilaterally at the sites of breast augmentation surgery.
Findings:
- Scedosporium apiospermum was identified as the causative agent.
- The case underscores the potential for Scedosporium infections in seemingly healthy individuals following medical interventions.
Implications:
- Accurate identification and treatment of Scedosporium infections are complicated by antifungal resistance and variable therapeutic responses.
- Host immune status is a critical factor influencing infection outcomes, necessitating careful clinical evaluation and management strategies.
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