Endocarditis and hip arthritis associated with Scedosporium inflatum.
A 30-year-old man had endocarditis and hip arthritis associated with the recently recognized fungus, Scedosporium inflatum. Inhibition, and possibly cure, of endocarditis occurred with medical therapy alone. Data from in vitro susceptibility testing did not predict clinical response. This case also illustrates the need to standardize fungal susceptibility testing and to remain vigilant for emerging pathogens.
Toy
E C
EC
Office of Medical Education, Ventura County Medical Center, Calif.
Rinaldi
M G
MG
Savitch
C B
CB
Leibovitch
E R
ER
D000328:Adult; D004352:Drug Resistance, Microbial; D004696:Endocarditis / Q000188:drug therapy / Q000209:etiology*; D003932:Heroin; D006801:Humans; D008297:Male; D008943:Mitral Valve; D008271:Mycetoma / Q000150:complications*; D015207:Osteoarthritis, Hip / Q000188:drug therapy / Q000209:etiology*; D011541:Pseudallescheria / Q000187:drug effects / Q000302:isolation & purification; D015819:Substance Abuse, Intravenous
D003932:Heroin