Imaging findings of pulmonary infection caused by Scedosporium prolificans in a deep immunocompromised patient.
Scedosporium prolificans is an emerging fungus that causes rapid progressive and disseminated infections in immunodepressed patients. We present a case of a 34-year-old woman with chronic myelogenous leukemia who received a bone marrow transplantation and suffered a sudden respiratory failure in +67 day. Chest radiographies showed growing bilateral patchy condensations. Computed Tomography depicted bilateral nodular condensation of alveolar space. S. prolificans was detected from sputum, but the patient died 72 h later. Imaging findings of lung scedosporiosis are nonspecific, but CT may provide a prompter diagnosis and allow to add newer antifungal treatments. This report presents the first imaging report of lung scedosporiosis.
Pellón Dabén
Raúl
R
Department of Radiology, Hospital Universitario Marqués de Valdecilla, Avenida Valdecilla s/n, 39008 Santander, Cantabria, Spain. hoznayin@hotmail.com
Marco de Lucas
Enrique
E
Martín Cuesta
Laura
L
Piedra Velasco
Tatiana
T
Arnaiz García
Javier
J
Landeras
Rosa
R
López Duarte
Monica
M
Bermúdez
Arancha
A
D000328:Adult; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D007951:Leukemia, Myeloid / Q000382:microbiology; D008172:Lung Diseases, Fungal / Q000000981:diagnostic imaging* / Q000382:microbiology; D008271:Mycetoma / Q000000981:diagnostic imaging* / Q000382:microbiology; D011859:Radiography; D021681:Scedosporium