Severe skin and soft tissue pythiosis acquired in a hot spring in the southwestern United States, a case report and review of North American cases

Matthew J. Perkins, Domingo J. Rosario, Brian L. Wickes, Theerapong Krajaejun, Jeffrey E. Sherwood, Rupal M. Mody

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: Human pythiosis, caused primarily by the aquatic oomycete, Pythium insidiosum, is an emerging but uncommon infection in North America. The infection is frequently life-threatening and is often initially unrecognized due to its rarity and similar presentation to certain fungal infections. Methods: We report a case of skin and soft tissue pythiosis in a patient without significant underlying comorbidities acquired in a New Mexico hot spring and review its successful treatment. We also review all reported pythiosis cases in North America. Results: Eleven confirmed cases of human pythiosis acquired in North America were identified. The majority of cases occurred in children (64%), ten of eleven cases were acquired in the southern U.S., Mexico, Central America or the Caribbean and four of the eleven individuals succumbed to the infection. Conclusions: With recognition and aggressive surgical and medical treatment good clinical outcomes can be achieved when treating human pythiosis.

Original languageEnglish (US)
Article number102349
JournalTravel Medicine and Infectious Disease
Volume48
DOIs
StatePublished - Jul 1 2022

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Fingerprint

Dive into the research topics of 'Severe skin and soft tissue pythiosis acquired in a hot spring in the southwestern United States, a case report and review of North American cases'. Together they form a unique fingerprint.

Cite this