Microsurgical Debridement for Persistent Ulcers Due to Rare Fungus Infection: Case Report and Literature Review
A patient suffered from chronic ulcer due to recalcitrant fungal infection for 3.5 years. Five antifungal agents and 40 times of debridement—all failed. Finally, radical microscopic debridement was performed for eradication of fungal conidiospores. Since then, there was no recurrence at 2 years of f...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2024-01-01
|
| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2166-8413 |
| _version_ | 1797289794327281664 |
|---|---|
| author | Yu-Wen Tsui Chia-Yu Tsai Hung-Chi Chen |
| author_facet | Yu-Wen Tsui Chia-Yu Tsai Hung-Chi Chen |
| author_sort | Yu-Wen Tsui |
| collection | DOAJ |
| description | A patient suffered from chronic ulcer due to recalcitrant fungal infection for 3.5 years. Five antifungal agents and 40 times of debridement—all failed. Finally, radical microscopic debridement was performed for eradication of fungal conidiospores. Since then, there was no recurrence at 2 years of follow-up. Scopulariopsis brevicaulis is one of the rarest pathogens of cutaneous fungal infections, for which multidrug resistance increased the complexity and difficulty of treatment. Radical excision, especially microscopic debridement, was the key for eradication of fungal conidiospores in this case. |
| first_indexed | 2024-03-07T19:11:09Z |
| format | Article |
| id | doaj.art-3e8e8962dea54d3f856fd3da67410f06 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-03-07T19:11:09Z |
| publishDate | 2024-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-3e8e8962dea54d3f856fd3da67410f062024-03-01T00:10:26ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712024-01-01510113513810.1055/a-2166-8413Microsurgical Debridement for Persistent Ulcers Due to Rare Fungus Infection: Case Report and Literature ReviewYu-Wen Tsui0https://orcid.org/0000-0001-8651-2979Chia-Yu Tsai1https://orcid.org/0000-0002-9771-5445Hung-Chi Chen2https://orcid.org/0000-0002-2749-1909Department of Family Medicine, China Medical University Hospital, Taichung, TaiwanDepartment of Surgery, China Medical University Hospital, Taichung, TaiwanDepartment of Surgery, China Medical University Hospital, Taichung, TaiwanA patient suffered from chronic ulcer due to recalcitrant fungal infection for 3.5 years. Five antifungal agents and 40 times of debridement—all failed. Finally, radical microscopic debridement was performed for eradication of fungal conidiospores. Since then, there was no recurrence at 2 years of follow-up. Scopulariopsis brevicaulis is one of the rarest pathogens of cutaneous fungal infections, for which multidrug resistance increased the complexity and difficulty of treatment. Radical excision, especially microscopic debridement, was the key for eradication of fungal conidiospores in this case.http://www.thieme-connect.de/DOI/DOI?10.1055/a-2166-8413fungal infectionswounds and injuries Scopulariopsis brevicaulis antifungal agentsmicrosurgical debridement |
| spellingShingle | Yu-Wen Tsui Chia-Yu Tsai Hung-Chi Chen Microsurgical Debridement for Persistent Ulcers Due to Rare Fungus Infection: Case Report and Literature Review Archives of Plastic Surgery fungal infections wounds and injuries Scopulariopsis brevicaulis antifungal agents microsurgical debridement |
| title | Microsurgical Debridement for Persistent Ulcers Due to Rare Fungus Infection: Case Report and Literature Review |
| title_full | Microsurgical Debridement for Persistent Ulcers Due to Rare Fungus Infection: Case Report and Literature Review |
| title_fullStr | Microsurgical Debridement for Persistent Ulcers Due to Rare Fungus Infection: Case Report and Literature Review |
| title_full_unstemmed | Microsurgical Debridement for Persistent Ulcers Due to Rare Fungus Infection: Case Report and Literature Review |
| title_short | Microsurgical Debridement for Persistent Ulcers Due to Rare Fungus Infection: Case Report and Literature Review |
| title_sort | microsurgical debridement for persistent ulcers due to rare fungus infection case report and literature review |
| topic | fungal infections wounds and injuries Scopulariopsis brevicaulis antifungal agents microsurgical debridement |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2166-8413 |
| work_keys_str_mv | AT yuwentsui microsurgicaldebridementforpersistentulcersduetorarefungusinfectioncasereportandliteraturereview AT chiayutsai microsurgicaldebridementforpersistentulcersduetorarefungusinfectioncasereportandliteraturereview AT hungchichen microsurgicaldebridementforpersistentulcersduetorarefungusinfectioncasereportandliteraturereview |