Trichophyton as a Rare Cause of Postoperative Wound Infection Resistant to Standard Empiric Antimicrobial Therapy
Fungal infections are rare causes of acute surgical wound infections, but Candida is not an infrequent etiology in chronic wound infections. Trichophyton species is a common cause of tinea capitis but has not been reported as a cause of neurosurgical wound infection. We report a case of Trichophyton...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2018/3483685 |
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| author | Sheema Gaffar John K. Birknes Kenji M. Cunnion |
| author_facet | Sheema Gaffar John K. Birknes Kenji M. Cunnion |
| author_sort | Sheema Gaffar |
| collection | DOAJ |
| description | Fungal infections are rare causes of acute surgical wound infections, but Candida is not an infrequent etiology in chronic wound infections. Trichophyton species is a common cause of tinea capitis but has not been reported as a cause of neurosurgical wound infection. We report a case of Trichophyton tonsurans causing a nonhealing surgical wound infection in a 14-year-old male after hemicraniectomy. His wound infection was notable for production of purulent exudate from the wound and lack of clinical improvement despite empiric treatment with multiple broad-spectrum antibiotics targeting typical bacterial causes of wound infection. Multiple wound cultures consistently grew Trichophyton fungus, and his wound infection clinically improved rapidly after starting terbinafine and discontinuing antibiotics. |
| format | Article |
| id | doaj-art-b5fe9a3e962e41f4a803ab9193c879ed |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-b5fe9a3e962e41f4a803ab9193c879ed2025-02-03T05:58:12ZengWileyCase Reports in Pediatrics2090-68032090-68112018-01-01201810.1155/2018/34836853483685Trichophyton as a Rare Cause of Postoperative Wound Infection Resistant to Standard Empiric Antimicrobial TherapySheema Gaffar0John K. Birknes1Kenji M. Cunnion2Department of Pediatrics, Eastern Virginia Medical School, 700 West Olney Road, Norfolk, VA 23507, USADivision of Pediatric Neurosurgery, Children’s Hospital of the King’s Daughters, 601 Children’s Lane, Norfolk, VA 23507, USADepartment of Pediatrics, Eastern Virginia Medical School, 700 West Olney Road, Norfolk, VA 23507, USAFungal infections are rare causes of acute surgical wound infections, but Candida is not an infrequent etiology in chronic wound infections. Trichophyton species is a common cause of tinea capitis but has not been reported as a cause of neurosurgical wound infection. We report a case of Trichophyton tonsurans causing a nonhealing surgical wound infection in a 14-year-old male after hemicraniectomy. His wound infection was notable for production of purulent exudate from the wound and lack of clinical improvement despite empiric treatment with multiple broad-spectrum antibiotics targeting typical bacterial causes of wound infection. Multiple wound cultures consistently grew Trichophyton fungus, and his wound infection clinically improved rapidly after starting terbinafine and discontinuing antibiotics.http://dx.doi.org/10.1155/2018/3483685 |
| spellingShingle | Sheema Gaffar John K. Birknes Kenji M. Cunnion Trichophyton as a Rare Cause of Postoperative Wound Infection Resistant to Standard Empiric Antimicrobial Therapy Case Reports in Pediatrics |
| title | Trichophyton as a Rare Cause of Postoperative Wound Infection Resistant to Standard Empiric Antimicrobial Therapy |
| title_full | Trichophyton as a Rare Cause of Postoperative Wound Infection Resistant to Standard Empiric Antimicrobial Therapy |
| title_fullStr | Trichophyton as a Rare Cause of Postoperative Wound Infection Resistant to Standard Empiric Antimicrobial Therapy |
| title_full_unstemmed | Trichophyton as a Rare Cause of Postoperative Wound Infection Resistant to Standard Empiric Antimicrobial Therapy |
| title_short | Trichophyton as a Rare Cause of Postoperative Wound Infection Resistant to Standard Empiric Antimicrobial Therapy |
| title_sort | trichophyton as a rare cause of postoperative wound infection resistant to standard empiric antimicrobial therapy |
| url | http://dx.doi.org/10.1155/2018/3483685 |
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