title: Chronic pulmonary scedosporiosis simulating aspergillosis.
abstract: 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.
authors.affiliation: First Department of Internal Medicine, Kurume University School of Medicine, Japan. kogat@med.kurume-u.ac.jp
authors.forename: Takeharu
authors.initials: T
authors.lastname: Koga
authors.forename: Takao
authors.initials: T
authors.lastname: Kitajima
authors.forename: Reiko
authors.initials: R
authors.lastname: Tanaka
authors.forename: Masashi
authors.initials: M
authors.lastname: Hirokawa
authors.forename: Masao
authors.initials: M
authors.lastname: Ichiki
authors.forename: Toru
authors.initials: T
authors.lastname: Rikimaru
authors.forename: Hisamichi
authors.initials: H
authors.lastname: Aizawa
mesh_terms: 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