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Rare disease
CASE REPORT
Saksenaea vasiformis infection in an immunocompetent patient in rural Australia
  1. Wiktor Teodor Pilch1,
  2. Ned Kinnear1,2,
  3. 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}gmail.com

Summary

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.

  • infectious diseases
  • general surgery
  • drugs: infectious diseases

https://doi.org/10.1136/bcr-2017-220341

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    Footnotes

    • 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.