BMJ Case Reports 2017; doi:10.1136/bcr-2017-220341
  • Rare disease

Saksenaea vasiformis infection in an immunocompetent patient in rural Australia

  1. Derek Barry Hennessey2,3
  1. 1Port Augusta Hospital and Regional Health Service, Port Augusta, South Australia, Australia
  2. 2Department of Urology, Austin Hospital, Heidelberg, Victoria, Australia
  3. 3Department of Urology, Craigavon Area Hospital, Portadown, UK
  1. Correspondence to Dr Ned Kinnear, ned.kinnear{at}
  • Accepted 30 May 2017
  • Published 18 June 2017


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.


  • Contributors WTP was responsible for manuscript concept and initial manuscript. NK and DBH revised the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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