Pelvic Abscess by Fusarium fujikuroi in an Immunocompetent Woman A Case Report and Review of Literature

Invasive Fusarium spp. infections are commonly seen as opportunistic infections, predominantly in immunocompromised patients. However, on very rare occasions, it has been reported to cause invasive diseases in immunocompetent patients, mostly after a breach in the normal physical barrier. We present the case of a woman who after delivery by cesarean section, developed pelvic abscess that was communicating with the endometrial cavity, culture noted positive for Escherichia coli and Fusarium fujikuroi. To our knowledge, this is also the first ever reported case of pelvic abscess by Fusarium spp. Follow-up imaging showed complete resolution of the abscess after treatment. Here, we present a review of all invasive Fusarium spp. infections in immunocompetent patients, except skin and soft tissue infections, reported in the literature to date.