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Indian Journal of Pathology and Microbiology
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CASE REPORT
Year : 2015  |  Volume : 58  |  Issue : 1  |  Page : 115-117

A masquerading subcutaneous swelling caused by Scedosporium apiospermum: An emerging pathogen


1 Department of Microbiology, Indira Gandhi Government Medical College and Research Institute (Government of Puducherry Institute), Puducherry, India
2 Department of Pathology, Indira Gandhi Government Medical College and Research Institute (Government of Puducherry Institute), Puducherry, India
3 Department of Surgery, Indira Gandhi Government Medical College and Research Institute (Government of Puducherry Institute), Puducherry, India

Correspondence Address:
Dr. A Malini
Department of Microbiology, Indira Gandhi Government Medical College and Research Institute (Government of Puducherry Institute), Vazhudavur Road, Kadirkammam, Puducherry - 605 009
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0377-4929.151206

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Scedosporiasis is an emerging infection in immunocompromised individuals. We report a case of multiple subcutaneous swellings in a diabetic ketoacidotic patient, which was clinically diagnosed as lipoma. On fine-needle aspiration cytology, pus was aspirated, which showed septate branching hyphal elements. The pus culture on Sabouraud's dextrose agar yielded Scedosporium apiospermum, which was identified based on its macroscopic and microscopic features. There are very few reports of scedosporiasis from India. The diagnosis of scedosporiasis is difficult and correct etiological diagnosis can help in better management of the patient.


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