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Invasive lung infection by Scedosporium apiospermum in an immunocompetent individual
David Agatha1, Krishnan Usha Krishnan, Ved-achalam Dillirani
1Department of Microbiology, Madras Medical College, Chennai, Tamil Nadu, India.
Abstract:
Scedosporium apiospermum previously known as Monospermum apiospermum is a ubiquitous fungus found in soil, polluted water and sewage. It causes broad spectrum of diseases, including soft tissue infections, septic arthritis, osteomyelitis, ophthalmic infections, sinusitis, pneumonia, meningitis, brain abscesses, endocarditis and disseminated infection. In recent years, it has been shown to be pathogenic for both immunocompetent and immunosuppressed patients. It is a significant opportunist with very high levels of antifungal resistance. We report here a case of invasive lung infection due to S. apiospermum in an immunocompetent patient who responded to antifungal therapy and surgical treatment.
Insights
Scedosporium apiospermum, an antifungal-resistant fungus, can cause severe lung infections in immunocompetent individuals. This case highlights successful treatment with antifungal therapy and surgery.
Area of Science:
- Mycology
- Infectious Diseases
Background:
- Scedosporium apiospermum is a ubiquitous fungus causing diverse infections.
- It poses a significant threat due to high antifungal resistance.
- It is increasingly recognized as pathogenic in both immunocompetent and immunosuppressed individuals.
Observation:
- The study reports a case of invasive lung infection caused by Scedosporium apiospermum.
- The patient was immunocompetent.
Findings:
- The patient successfully responded to a combination of antifungal therapy and surgical intervention.
- This demonstrates the efficacy of combined treatment modalities.
Implications:
- This case underscores the potential of Scedosporium apiospermum to cause severe disease in immunocompetent hosts.
- Early diagnosis and combined therapeutic approaches are crucial for managing Scedosporium apiospermum infections.
- Further research into antifungal resistance patterns and treatment strategies is warranted.
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