title: [Scedosporium apiospermum rhinosinusal infection in an immunocompetent host].
abstract: Scedosporium species can cause colonization, superficial and deep localized infection or systemic disease, especially in immunocompromised hosts. We report a case of localized infection due to Scedosporium apiospermum in a 47 year old woman, with previous nasal surgery. She consulted for recurrent mucopurulent post-nasal discharge not responding to antibiotics. Computed tomography showed opacification of right maxillary sinus. Surgery was performed to removed abnormal tissue from sinus; biopsy revealed chronic sinusitis with aggregate of tightly packed hyphae suggestive of filamentous fungi. The microbiology fungal culture reported Scedosporium apiospermum.
authors.affiliation: Unidad de Infectología, Servicio de Medicina Interna, Hospital San Juan de Dios, Santiago, Chile. lchanqueo@gmail.com
authors.forename: Leonardo
authors.initials: L
authors.lastname: Chanqueo
authors.forename: Catalina
authors.initials: C
authors.lastname: Gutiérrez
authors.forename: Cecilia
authors.initials: C
authors.lastname: Tapia
authors.forename: Víctor
authors.initials: V
authors.lastname: Silva
authors.forename: Leopoldo
authors.initials: L
authors.lastname: Razeto
authors.forename: Carlos
authors.initials: C
authors.lastname: Misad
mesh_terms: D002908:Chronic Disease; D005260:Female; D006801:Humans; D007121:Immunocompetence; D008875:Middle Aged; D008271:Mycetoma / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D012220:Rhinitis / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery; D021681:Scedosporium / Q000302:isolation & purification*; D012852:Sinusitis / Q000175:diagnosis / Q000382:microbiology* / Q000601:surgery