Dr Hye-sung Park1, Mr Anand Ramakrishnan2
1Peter Maccallum Cancer Centre, Melbourne, Australia
2Royal Melbourne Hospital, Melbourne, Australia
Introduction: Lomentospora prolificans is an environmental mould which is found particularly in Australia, Spain and USA. It is an emerging opportunistic fungal pathogen associated with high mortality rate, which causes a wide variety of infections in immunocompromised and immunocompetent individuals. The major challenge to a successful treatment lies in its intrinsic resistance to all antifungal agents currently available on the market.
Methods: We report a case of Lomentospora prolificans infection of lower limb in a previously immunocompetent multi-trauma patient, requiring multidisciplinary team management and radical surgical treatment.
Results: High-above knee amputation was necessary as a source control for multi-resistant Lomentospora prolificans infection in post-traumatic leg wound due to significant risk of developing disseminated infection in the setting of post-traumatic immunosuppression in otherwise previously immunocompetent individual.
Conclusion: Infections caused by Lomentospora prolificans are rare but life threatening in susceptible patients. Effective and prompt communication between infectious diseases team and surgical team is crucial for an optimal outcome.
Biography: Accredited plastics registrar currently working at Peter MacCallum Cancer Centre, Melbourne, Australia.