Document Detail


Scedosporium apiospermum infection presenting as a pneumothorax and cavitary lung lesions in a patient with acquired immune deficiency syndrome.
MedLine Citation:
PMID:  20689476     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Scedosporium genus consists of filamentous fungi that inhabit soil, sewage, manure, and polluted waters, and contains two medically important species: Scedosporium apiospermum and Scedosporium prolificans. Scedosporiosis is caused by inhalation or traumatic subcutaneous implantation of the organism, and may have varied clinical presentations. A variety of pulmonary manifestations can occur, but to our knowledge, pneumothorax as initial presentation has not been reported. Treatment may be difficult, as the disease occurs more commonly in immunocompromised patients, and the organism may demonstrate resistance to various antifungal agents. We describe successful treatment of extensive pulmonary disease due to S apiospermum in a patient with acquired immune deficiency syndrome (AIDS).
Authors:
Shirin A Mazumder; Kerry O Cleveland; John Norwood
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  103     ISSN:  1541-8243     ISO Abbreviation:  South. Med. J.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-31     Completed Date:  2010-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  960-2     Citation Subset:  AIM; IM    
Affiliation:
Division of Infectious Diseases, Department of Medicine, University of Tennessee Health Science Center, Memphis, TN, USA. sam7301@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
AIDS-Related Opportunistic Infections / diagnosis,  drug therapy,  microbiology*
Adult
Antifungal Agents / therapeutic use
Female
Humans
Itraconazole / therapeutic use
Lung / microbiology*,  radiography
Mycetoma / diagnosis*,  drug therapy
Pneumothorax / drug therapy,  microbiology*
Pyrimidines / therapeutic use
Scedosporium
Tomography, X-Ray Computed
Triazoles / therapeutic use
Chemical
Reg. No./Substance:
0/Antifungal Agents; 0/Pyrimidines; 0/Triazoles; 0/voriconazole; 84625-61-6/Itraconazole

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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