Journal List > Korean J Lab Med > v.26(1) > 1011335

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Oh, Chae, Cho, Kee, Shin, Shin, Suh, and Ryang: Infection with Scopulariopsis brevicaulis after Cosmetic Surgery of the Face
Original Article

Korean J Leg Med 2006;26(1):32-35.

Published online: 10 February 2006

DOI: https://doi.org/10.3343/kjlm.2006.26.1.32

Infection with Scopulariopsis brevicaulis after Cosmetic Surgery of the Face

Bong Joon Oh, M.D., Myong Jong Chae, M.D., Duck Cho, M.D., Seung Jung Kee, M.D., Myung Geun Shin, M.D., Jong Hee Shin, M.D., Soon Pal Suh, M.D., Dong Wook Ryang, M.D.

Department of Laboratory Medicine, Chonnam National University Medical School, Gwangju, Korea

Received 18 August 2005       Revised 28 October 2005       Accepted 28 October 2005

Copyright © 2006 The Korean Society for Legal Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Scopulariopsis brevicaulis is a ubiquitous soil saprophyte that commonly causes onychomycosis, accounting for 1–10% of such infections. Rarely, it may be responsible for cutaneous lesions or more severe infections, especially after traumatic or surgical injuries. We report of a 54-year-old female patient who developed facial cellulitis caused by S. brevicaulis, which occurred one year after the patient underwent cosmetic surgery of the face. The patient suffered from febrile sense, pain and a growing mass lesion on her left cheek, which were diagnosed as facial cellulitis associated with foreign material that had been implanted at the time of cosmetic surgery. Three pus cultures from the mass lesion which performed at a week interval yielded the same S. brevicaulis. Surgical removal and drainage by using liposuction procedure resulted in a favorable outcome. To our knowledge this is the first report of S. brevicaulis infection associated with cosmetic surgery in Korea.

Keywords: Scopulariopsis brevicaulis, Facial cellulitis, Cosmetic surgery

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Fig. 1.
Colony morphology of Scopulariopsis brevicaulis on Sabouraud dextrose agar, which is initially white, becoming buff and granular.
kjlm-26-32f1.tif
Fig. 2.
Microscopic morphology of Scopulariopsis brevicaulis, exhibiting septate hyphae, hyaline. conidiophores terminating in groups of 2–4 annellophores (A). Annelloconidia globose to ovoid, base distinctly truncate, finely to coarsely roughened at maturity (B). (Lactophenol cotton blue stain, ×1,000).
kjlm-26-32f2.tif
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