Delayed scedosporium apiospermum osteomyelitis following an open ankle fracture in an immunocompetent patient
Papaleontiou, Andreas Poupard, Andréa Nolan, Ciaran Declan Mortiboy, Deborah
Papaleontiou, Andreas
Poupard, Andréa
Nolan, Ciaran Declan
Mortiboy, Deborah
Abstract
Scedosporium apiospermum is a ubiquitous environmental fungus, and several osteomyelitis cases have been reported in recent years. We present the case of a woman in her 70s who sustained a comminuted open ankle fracture, with garden soil contamination of the wound, which was treated according to orthoplastic principles. The patient developed osteomyelitis 6 months postsurgery. Intraoperative samples from the debridement and removal of metalwork showed the growth of S. apiospermum, and the patient was treated with antifungal therapy and surgical debridements. The successful recovery of the patient highlights the possibility of treating fungal osteomyelitis when promptly diagnosed, raising the need for clinical suspicion. The interpretation of the significance of an environmental isolate was aided by a clear recording of not only the mechanism of injury but also the environment where it occurred. Hence, clear documentation and description of open fractures are paramount to patients' care.
MIDER Authors
Date
2025-01-14
Type
Report
Subject
Surgery, Microbiology. Immunology, Orthopaedics
Collections
Citation
Papaleontiou A, Poupard A, Nolan CD, Mortiboy D. Delayed Scedosporium apiospermum osteomyelitis following an open ankle fracture in an immunocompetent patient. BMJ Case Rep. 2025 Jan 14;18(1):e262456. doi: 10.1136/bcr-2024-262456.
Journal / Source Title
BMJ case reports
DOI
10.1136/bcr-2024-262456
PMID
39809493
Publisher
BMJ Pub
Publisher’s URL
https://casereports.bmj.com/
https://pmc.ncbi.nlm.nih.gov/journals/?term=101526291
https://pmc.ncbi.nlm.nih.gov/journals/?term=101526291