Cutaneous Scedosporium apiospermum Infection in an Immunocompromised Patient and a Review of the Literature
Takeshi Uenotsuchi , Yoichi Moroi , Kazunori Urabe , Gaku Tsuji , Tetsuya Koga , Tetsuo Matsuda , Masutaka Furue
Scedosporium apiospermum (also known as Pseudallescheria boydii) is a ubiquitous filamentous fungus. This fungus is known as a cause of mycetoma, which may occur in a normally immune host following trauma. However, in an immunocompromised host, S. apiospermum may cause a life-threatening infection. We describe a case of S. apiospermum infection of the right hand in a patient who was receiving long-term immunosuppressants for adult Still's disease. We also review the cases of S. apiospermum infection with cutaneous manifestations reported between 1998 and 2003.