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    Cutaneous Scedosporium apiospermum Infection in an Immunocompromised Patient and a Review of the Literature
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    Abstract:
    Scedosporium apiospermum (also known as Pseudallescheria boydii) is a ubiquitous filamentous fungus. This fungus is known as a cause of mycetoma, which may occur in a normally immune host following trauma. However, in an immunocompromised host, S. apiospermum may cause a life-threatening infection. We describe a case of S. apiospermum infection of the right hand in a patient who was receiving long-term immunosuppressants for adult Still's disease. We also review the cases of S. apiospermum infection with cutaneous manifestations reported between 1998 and 2003.
    Keywords:
    Scedosporium apiospermum
    Mycetoma
    Mycetoma is chronic granulomatous infection of skin and subcutaneous tissue caused by both bacteria and fungi. We report a case of mycetoma caused by Scedosporium apiospermum in the right foot of a 45-year-old farmer in north India. The patient had a history of trauma in the sole of the right foot followed by discharge of white granules along with proximal progression. Scedosporium apiospermum was identified based on colony characteristics and microscopic features on slide culture. Mycetoma is a progressive disease. Foot is commonly affected in persons who walk barefoot, especially in south India. Untreated mycetoma progress and involve the underlying fasciae and tissues along with bones often resulting in loss of limb. By prompt and reliable diagnosis with corresponding antimicrobial administration, we can prevent further progression and limb disability.
    Scedosporium apiospermum
    Mycetoma
    Foot (prosody)
    Chronic Granulomatous Disease
    Actinomycosis
    Citations (10)
    Background Scedosporium apiospermum is a rare opportunistic pathogen that may lead to life-threatening infections in immunosuppressive patients. We report a case of Scedosporium apiospermum infection in a lung cancer patient host.
    Scedosporium apiospermum
    Mycetoma
    Monosporium apiospermum, a common agent of mycetoma, was isolated for the first time in Canada from the corneal tissue of an eviscerated eye which had been injured by a particle of wood. Early mycological investigation and accurate diagnosis might have prevented the loss of this eye.
    Scedosporium apiospermum
    Mycetoma
    Fungal Keratitis
    Citations (15)
    The authors report a case of mycetoma from Scedosporium apiospermum in a 19 years old patient affected by adult's CGD. They emphasize the importance of mycetes' identification from clinical specimens' isolates, to consent a correct interpretation of the bacteriological result from physician.
    Scedosporium apiospermum
    Mycetoma
    Citations (8)