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

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 ele...

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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
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Abstract	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.
AbstractList	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.
Audience	Academic
Author	Harthimath, Basavanandswamy C Malini, A Sinhasan, Sankappa P Madhusudan, N S
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SubjectTerms	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
Title	A masquerading subcutaneous swelling caused by Scedosporium apiospermum: an emerging pathogen
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