Abstract
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.
Keywords
fungal infections - wounds and injuries -
Scopulariopsis brevicaulis
- antifungal agents - microsurgical debridement
