title: Report of the first case of invasive fungal sinusitis caused by Scopulariopsis acremonium: review of scopulariopsis infections.
abstract: Scopulariopsis acremonium is a species of saprophytic fungus not previously reported to cause invasive disease in humans, although invasive infections from other species of Scopulariopsis have been reported and are reviewed. Deep infection with this fungus is associated with a high mortality rate. Invasive fungal sinusitis, in general, is a potentially fatal disease that typically affects immunocompromised patients, such as those receiving intensive chemotherapy or undergoing bone marrow transplantation. We report a case of invasive fungal sinusitis caused by Scopulariopsis acremonium in a patient with leukemia, who was successfully treated with amphotericin B, itraconazole, endoscopic sinus surgery, and granulocyte colony-stimulating factor.
authors.affiliation: Department of Otolaryngology and Human Communication, Medical College of Wisconsin, Milwaukee 53226, USA.
authors.forename: M D
authors.initials: MD
authors.lastname: Ellison
authors.forename: R T
authors.initials: RT
authors.lastname: Hung
authors.forename: K
authors.initials: K
authors.lastname: Harris
authors.forename: B H
authors.initials: BH
authors.lastname: Campbell
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D015521:Ethmoid Sinusitis / Q000276:immunology / Q000382:microbiology* / Q000628:therapy; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D015470:Leukemia, Myeloid, Acute / Q000188:drug therapy / Q000276:immunology; D015523:Maxillary Sinusitis / Q000276:immunology / Q000382:microbiology* / Q000628:therapy; D008875:Middle Aged; D009181:Mycoses / Q000453:epidemiology* / Q000276:immunology / Q000628:therapy
chemical_list: D000970:Antineoplastic Agents