title: Cutaneous and systemic infection with Scedosporium apiospermum.
abstract: We present a case of cutaneous and systemic infection with Scedosporium apiospermum occurring in a patient with systemic lupus erythematosus. Scedosporium apiospermum is a rare cause of systemic mycosis but is associated with a high rate of mortality in immunocompromised hosts. Because the patient presented in an advanced state of infection, supportive measures were unsuccessful and definitive diagnosis could not be made until postmortem examination. We discuss the presentation, pathology, diagnosis, and treatment strategies for Scedosporium infection.
authors.affiliation: Department of Dermatology, San Antonio Military Medical Center, Texas, USA.
authors.forename: Michael K
authors.initials: MK
authors.lastname: Elm
authors.forename: Atif
authors.initials: A
authors.lastname: Ahmed
authors.forename: Denise
authors.initials: D
authors.lastname: Goksel
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Henning
mesh_terms: D000368:Aged; D001344:Autopsy; D001706:Biopsy; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications; D008271:Mycetoma / Q000175:diagnosis* / Q000382:microbiology*; D021681:Scedosporium / Q000302:isolation & purification*