Chronic pulmonary scedosporiosis simulating aspergillosis.
Scedosporium apiospermum, a ubiquitously distributed saprophyte, is emerging as an important pathogen in immunocompromised patients. We describe a 72-year-old patient with chronic S. apiospermum infection of the lung simulating aspergilloma. His medical history was unremarkable except that he had undergone partial lung resection as a treatment for pulmonary tuberculosis several decades previously. He had no underlying immunosuppressive conditions. This patient illustrates that pulmonary scedosporiosis is not confined to immunocompromised patients and that the clinical presentation may be indistinguishable from that of aspergilloma.
Koga
Takeharu
T
First Department of Internal Medicine, Kurume University School of Medicine, Japan. kogat@med.kurume-u.ac.jp
Kitajima
Takao
T
Tanaka
Reiko
R
Hirokawa
Masashi
M
Ichiki
Masao
M
Rikimaru
Toru
T
Aizawa
Hisamichi
H
D000368:Aged; D001228:Aspergillosis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D009894:Opportunistic Infections / Q000175:diagnosis / Q000382:microbiology / Q000473:pathology; D021681:Scedosporium / Q000302:isolation & purification; D014376:Tuberculosis / Q000601:surgery