Trichophyton as a Rare Cause of Postoperative Wound Infection Resistant to Standard Empiric Antimicrobial Therapy

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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Main Authors: Sheema Gaffar, John K. Birknes, Kenji M. Cunnion
Format: Article
Language:English
Published: Hindawi Limited 2018-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2018/3483685
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spelling doaj-b5fe9a3e962e41f4a803ab9193c879ed2020-11-24T21:44:29ZengHindawi LimitedCase 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
collection DOAJ
language English
format Article
sources DOAJ
author Sheema Gaffar
John K. Birknes
Kenji M. Cunnion
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
author_facet Sheema Gaffar
John K. Birknes
Kenji M. Cunnion
author_sort Sheema Gaffar
title 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_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_sort trichophyton as a rare cause of postoperative wound infection resistant to standard empiric antimicrobial therapy
publisher Hindawi Limited
series Case Reports in Pediatrics
issn 2090-6803
2090-6811
publishDate 2018-01-01
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.
url http://dx.doi.org/10.1155/2018/3483685
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AT johnkbirknes trichophytonasararecauseofpostoperativewoundinfectionresistanttostandardempiricantimicrobialtherapy
AT kenjimcunnion trichophytonasararecauseofpostoperativewoundinfectionresistanttostandardempiricantimicrobialtherapy
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