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Fungal infections are rare causes of acute surgical wound infections, but  Candida  is not an infrequent etiology in chronic wound infections.  Trichophyton  species is a common cause of tinea capitis but has not been reported as a cause of neurosurgical wound infection. We report a case of  Trichophyton tonsurans  causing a nonhealing surgical wound infection in a 14-year-old male after hemicraniectomy. His wound infection was notable for production of purulent exudate from the wound and lack of clinical improvement despite empiric treatment with multiple broad-spectrum antibiotics targeting typical bacterial causes of wound infection. Multiple wound cultures consistently grew  Trichophyton  fungus, and his wound infection clinically improved rapidly after starting terbinafine and discontinuing antibiotics.

Trichophytonas a Rare Cause of Postoperative Wound Infection Resistant to Standard Empiric Antimicrobial Therapy