Disseminated Scedosporium apiospermum Infection Induced from Aspiration Pneumonia after Near-Drowning. |
Hoyoun Won, Hyung Rae Kim, Dong Hwan Kim, Jaewon Oh, Jung Hye Ki, Chang Hun Han, Sun Min Lee, Cheong Ju Kim |
1Department of Internal Medicine, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea. kom2d@naver.com 2Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. 3Department of Pathology, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea. |
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Abstract |
Scedosporium apiospermum, the anamorph of Pseudallescheria boydii, is a ubiquitous saprophytic fungus. S. apiospermum can cause life-threatening infections usually in immunocompromised patients or after near-drowning incidents. Here, we report the first case of disseminated infection caused by S. apiospermum after near-drowning in Korea. A 44-year-old healthy man developed aspiration pneumonia, followed by multiple brain abscesses, and endopthalmitis, after a near-drowning incident in a septic tank. S. apiospermum infection was diagnosed on the 33rd day after the incident had occurred. The patient died from the progressive renal failure 255 days after incident, although he had been treated with voriconazole. |
Key Words:
Scedosporium, Pneumonia, Aspiration, Near Drowning |
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