title: Otitis caused by Scedosporium apiospermum in an immunocompetent child.
abstract: Scedosporium apiospermum (Pseudallescheria boydii) is a ubiquitous saprophytic mold. It is considered an infrequent but important and emerging human pathogen, mostly in immunocompromised hosts. Otomycosis secondary to S. apiospermum is extremely rare. We report an 8-year-old immunocompetent male who developed otitis media and otitis externa from S. apiospermum, which was successful treated with combination of surgical debridement and topical clotrimazole therapy. A brief literature review of infections caused by S. apiospermum follows the case presentation.
authors.affiliation: Division of Microbiology, Johns Hopkins University School of Medicine, USA. hbhally@hotmail.com
authors.forename: H S
authors.initials: HS
authors.lastname: Bhally
authors.forename: C
authors.initials: C
authors.lastname: Shields
authors.forename: S Y
authors.initials: SY
authors.lastname: Lin
authors.forename: W G
authors.initials: WG
authors.lastname: Merz
mesh_terms: D000287:Administration, Topical; D000935:Antifungal Agents / Q000627:therapeutic use; D002648:Child; D003022:Clotrimazole / Q000627:therapeutic use; D006801:Humans; D007121:Immunocompetence / Q000502:physiology*; D008297:Male; D010034:Otitis Media with Effusion / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D021681:Scedosporium / Q000302:isolation & purification*
chemical_list: D000935:Antifungal Agents; D003022:Clotrimazole