Scedosporium apiospermum Pneumonia in an Immunocompetent Host

Invasive fungal infections are being increasingly identified recently. Scedosporium is a significant cause of non-Aspergillus mold infection. It can cause disseminated disease in an immunocompromised host and localized pulmonary infection in immunocompetent ones, especially in those with preformed l...

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Published inCurēus (Palo Alto, CA) Vol. 13; no. 8
Main Authors Mir, Wasey Ali Yadullahi, Shrestha, Dhan B, Khan Suheb, Mahammed Z, Reddy, Shravani, Gaire, Suman
Format Journal Article
LanguageEnglish
Published Palo Alto (CA) Cureus 04.08.2021
Subjects
Infectious Disease
Internal Medicine
Pulmonology
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Summary:Invasive fungal infections are being increasingly identified recently. Scedosporium is a significant cause of non-Aspergillus mold infection. It can cause disseminated disease in an immunocompromised host and localized pulmonary infection in immunocompetent ones, especially in those with preformed lung cavities. We present a case of scedosporiosis in an elderly female with bronchiectasis who presented with refractory pulmonary symptoms and infiltrates. The case emphasizes the need to keep the fungal infection in the differential diagnosis of refractory infiltrates in immunocompetent individuals without preformed cavities if they have bronchiectasis. Voriconazole monotherapy can be used as the first-line in proven cases of scedosporiosis.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.16891