Saksenaea vasiformis infection in an immunocompetent patient in rural Australia

BMJ Case Rep. 2017 Jun 18:2017:bcr2017220341. doi: 10.1136/bcr-2017-220341.

Abstract

An 81-year-old man from rural Australia presented with right pretibial cellulitis 7 days after minor trauma against furniture. He failed to improve despite antibiotics and surgical debridement. Subsequent cultures grew the rare fungus Saksenaea vasiformis, which was treated with further surgical debridement, amphotericin B and posaconazole. This was successful and the patient made a full recovery. We present the case and discuss lessons learnt.

Keywords: drugs: infectious diseases; general surgery; infectious diseases.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Amphotericin B / therapeutic use*
  • Antifungal Agents / therapeutic use*
  • Australia
  • Debridement
  • Humans
  • Leg Injuries / microbiology*
  • Male
  • Mucormycosis / drug therapy
  • Mucormycosis / microbiology*
  • Soft Tissue Infections / drug therapy
  • Soft Tissue Infections / microbiology*
  • Treatment Outcome
  • Triazoles / therapeutic use*

Substances

  • Antifungal Agents
  • Triazoles
  • posaconazole
  • Amphotericin B