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Scedosporium apiospermum (Pseudallescheria boydii) endocarditis
Thomas A O'Bryan1, Frederick A Browne, John F Schonder
1Division of General Internal Medicine, Department of Medicine, The Pennsylvania State University, College of Medicine, Hershey, PA, 17033, USA. tobryan@psu.edu
The Journal of Infection
|July 9, 2002
Summary
Scedosporium apiospermum, an opportunistic pathogen, caused native valve endocarditis in an elderly patient after extended hospitalization. This case highlights the organism
Area of Science:
- Mycology
- Infectious Diseases
- Cardiology
Background:
- Scedosporium apiospermum, the asexual state of Pseudallescheria boydii, is an emerging opportunistic fungal pathogen.
- Fungal endocarditis is rare but associated with significant morbidity and mortality.
Observation:
- An elderly patient developed native valve endocarditis.
- The infection was caused by Scedosporium apiospermum.
- The patient had a history of prolonged hospitalization.
Findings:
- This case represents a rare instance of native valve endocarditis caused by Scedosporium apiospermum.
- A review of existing literature on Scedosporium and Pseudallescheria endocarditis is provided.
Implications:
- Highlights the potential of Scedosporium apiospermum as a cause of infective endocarditis, particularly in immunocompromised or hospitalized patients.
- Emphasizes the need for increased clinical awareness and diagnostic vigilance for fungal pathogens in endocarditis.
- Informs treatment strategies for rare fungal endocarditis cases.