[Disseminated infection due to Scedosporium apiospermum in liver transplantation. Differential diagnosis from invasive aspergillosis].
A case of fatal disseminated infection due to Scedosporium apiospermum occurring after liver transplantation is reported. Diagnosis was made at autopsy, as numerous fungal colonies were found in the lungs, heart, brain, kidney, spleen and liver. Scedosporium apiospermum was identified in pulmonary, cerebral and myocardial specimens by Sabouraud's glucose agar cultures. Infections due to Scedosporium (S. apiospermum ou Pseudallescheria boydii) occur in immunocompromised hosts, particularly after organ transplantation, and realize severe invasive fungal infection. Scedosporiosis is much more rare than aspergillosis and can be only identified by mycological study. This diagnosis is rarely performed during life time and allows an effective treatment by imidazoles.
Hofman
P
P
Service d'Anatomopathologie, Hôpital Pasteur, Nice.
Saint-Paul
M C
MC
Gari-Toussaint
M
M
Michiels
J F
JF
Boissy
C
C
Jambou
P
P
Gugenheim
J
J
Loubière
R
R
D001228:Aspergillosis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D016867:Immunocompromised Host; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D008271:Mycetoma / Q000175:diagnosis*; D011183:Postoperative Complications / Q000175:diagnosis*; D011541:Pseudallescheria
Infection disséminée à scedosporium apiospermum chez un transplanté hépatique. Un diagnostic différentiel de l'aspergillose invasive.