A masquerading subcutaneous swelling caused by Scedosporium apiospermum: an emerging pathogen

• Published in: Indian journal of pathology & microbiology Vol. 58; no. 1; pp. 115 - 117
• Main Authors: Malini, A, Madhusudan, N S, Sinhasan, Sankappa P, Harthimath, Basavanandswamy C
• Format: Journal Article
• Language: English
• Published: India Medknow Publications and Media Pvt. Ltd 01-01-2015; Wolters Kluwer Medknow Publications
• Subjects: Biopsy, Fine-Needle; Care and treatment; Case studies; Diabetes Complications; Diagnosis; Diseases; Female; Humans; Hyalohyphomycosis; Immunocompromised host; India; Medical examination; Microbiological Techniques; Microscopy; Middle Aged; Mycoses; Mycoses - diagnosis; Mycoses - microbiology; Mycoses - pathology; Patient outcomes; pseudallesheria boydii; Risk factors; scedosporiasis; Scedosporium - isolation & purification; Soft Tissue Infections - diagnosis; Soft Tissue Infections - microbiology; Soft Tissue Infections - pathology; India
• ISSN: 0377-4929; 0974-5130
• DOI: 10.4103/0377-4929.151206

Scedosporiasis is an emerging infection in immunocompromised individuals. We report a case of multiple subcutaneous swellings in a diabetic ketoacidotic patient, which was clinically diagnosed as lipoma. On fine-needle aspiration cytology, pus was aspirated, which showed septate branching hyphal elements. The pus culture on Sabouraud's dextrose agar yielded Scedosporium apiospermum, which was identified based on its macroscopic and microscopic features. There are very few reports of scedosporiasis from India. The diagnosis of scedosporiasis is difficult and correct etiological diagnosis can help in better management of the patient.