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Nephrol Dial Transplant (2004) 19: 245-248
© ERA–EDTA 2003; all rights reserved

Case Report

Successful treatment due to vacuum seal technique of a severe Scedosporium apiospermum skin infection in a renal transplant recipient

Doreen Reimann, Eckhart Büssemaker and Peter Gross

Division of Nephrology, Department of Medicine, Universitätsklinikum ‘C.G.Carus’, Dresden, Germany

Correspondence and offprint requests to: Doreen Reimann, MD, Nephrology, Department of Medicine, Universitätsklinikum ‘Carl Gustav Carus’, Fetscherstrasse 74, D-01307 Dresden, Germany. Email: doreenreimann@hotmail.com

Keywords: Pseudallescheria boydii; renal transplantation; Scedosporium apiospermum; skin infection; vacuum seal

The first 10% of the full text of this article appears below.



   Introduction
 
In transplantation medicine the occurrence of an invasive fungal infection is considered a major complication. Because of the immunosuppressed state, it is often difficult to cure the affected patients. Sometimes a fungal infection even progresses to a state where the transplant or the patient's life may be threatened.

Candida and aspergillus species are commonly encountered fungi in such settings. In contrast, we were confronted with an infection by the rare fungus Scedosporium apiospermum. It had caused a severe skin infection in a recipient of a kidney transplant.

This fungal skin infection proved resistant to anti-fungal drug treatment and standard surgical debridement over many weeks. In fact the skin infection continued to spread to more proximal areas of the patient's leg. However, change of the surgical treatment of . . . [Full Text of this Article]



   Description of the clinical course
 
Past medical history
Clinical course


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