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KMID : 0670820110160040196
Korean Journal of Medical Mycology
2011 Volume.16 No. 4 p.196 ~ p.200
Localized Cutaneous Infection due to Scedosporium apiospermum
Nam Hyun-Min

Kwon Sun-Yong
Kim Ui-Kyung
Park Kun
Park Seok-Don
Abstract
Scedosporium(S) apiospermum is the asexual stage of Pseudallescheria boydii. The organism has been isolated from polluted water, soil, sewage and potted plants in a hospital with low virulence. This ubiquitous fungus causes not only mycetoma, but also infections of variety of body sites including the skin. Localized skin infection without grain production due to this organism is much rarer than mycetoma. Infection may occur via direct inoculation and usually affects the extremities. We report a case of localized cutaneous infection due to S. apiospermum which occurred in a 79-year old female. She presented multiple erythematous papulopustules on the right wrist. Culture isolation for definitive diagnosis showed S. apiospermum. The patient was treated successfully with oral itraconazole 200 mg daily for 4 weeks.
KEYWORD
Scedosporium apiospermum, Localized cutaneous infection, Itraconazole
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