A middle-aged man presented with acute abdomen was found to have torsion of the spleen on laparotomy with the spleen lying in an abnormal position. Wandering spleen is an unusual entity, with torsion being a common complication.
Human infections due to Phialophora richardsiae, first described in 1968, is usually associated with subcutaneous cysts, although there have been reported cases of ulcerative lesions with discharging sinuses as well as infection of bones and tendon sheaths.1,2,3 Because infections by P.richardsiae are rare and the fungus relatively unknown in Malaysia, it was thought worthwhile to report the isolation of this fungus from a cutaneous lesion.