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Journal of Medical Sciences
  Year: 2014 | Volume: 14 | Issue: 4 | Page No.: 201-205
DOI: 10.3923/jms.2014.201.205
 
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Wound Infection Caused by Pseudallescheria boydi with Black Discharge: A Case Report

Abdullah Algarni, Abdusalam Alawfi, Amal Y. Al Aidaroos, Jocelyn Donesa and Sarwat Parvez

Abstract:
Pseudallescheria boydii could cause lethal infections involving brain, lung, eyes and other deep tissue infections both in immune-compromised and immune-competent patients. Mycetoma and wound infection are also caused by this fungus. Pseudallescheria boydii usually reported as resistant to Amphotericin B in vivo. Pseudallescheria boydii, have been implicated as potentially emerging human and veterinary pathogen. Mycetoma and mycetomatous infections have been reported in both immuno-compromised and immuno-competent patient caused by Pseudallescheria boydii and by its asexual state Scedosporium apiospermum. Hence a timely diagnosis is essential as the organism is often resistant to many antifungal drugs. A nine year old, healthy girl who was presented with history of trauma, due to falling down on the tiled floor, incurring a 2 mm wound on her right forearm at school. Subsequently, the swelling was increasing dramatically in size with a large amount of black discharge over a short period of time without any foul smell. The black discharge was collected and sent to Microbiology Laboratory. Culture and microscopy for bacteria were negative while potassium hydroxide (KOH) microscopy reported positive for fungal element with septate mycelium. Fungal culture yielded Pseudallescheria boydii. It was treated successfully with surgical debridement under general anesthesia and systemic antifungal therapy. Patient was initially started with liposomal Amphotericin B and shifted to voriconazole after identification of fungus. Patient was discharged home on oral voriconazole and showed no complications on follow up. The report is a pointer to the fact that P. boydii can cause mycetoma, hence, an early diagnosis and treatment of infection could avert the dangerous outcome. A late diagnosis after formation of mycetoma could make clinical treatment a difficult task and resulted in failure and amputation. To the best of our knowledge this is the first reported case of Pseudallescheria boydii causing wound infection in Saudi Arabia.
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How to cite this article:

Abdullah Algarni, Abdusalam Alawfi, Amal Y. Al Aidaroos, Jocelyn Donesa and Sarwat Parvez, 2014. Wound Infection Caused by Pseudallescheria boydi with Black Discharge: A Case Report. Journal of Medical Sciences, 14: 201-205.

DOI: 10.3923/jms.2014.201.205

URL: https://scialert.net/abstract/?doi=jms.2014.201.205

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