title: Scedosporium apiospermum causing otomycosis in an immunocompetent child with tympanostomy tubes: Management of this rare entity.
abstract: Infection following a tympanostomy tube insertion is a common occurrence. Scedosporium apiospermum is a filamentous fungus mainly isolated in water and soil. There have been no reported cases of S. apiospermum infection of an immunocompetent individual with a tympanostomy tube in situ. A child was referred with unilateral otorrhoea failing to respond to conventional treatment in the community. S. apiospermum was identified following specialist testing. An extended course of anti-fungal treatment led to complete resolution. Due to the rare occurrence of aural S. apiospermum and unreported nature, it should be managed in a multidisciplinary setting.
authors: Department of Otolaryngology/Head & Neck Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK; Academic Unit of Clinical and Experimental Sciences, University of Southampton Faculty of Medicine, Southampton, UK. Electronic address: alisalamat@doctors.org.uk.
authors: A A
authors: AA
authors: Salamat
authors: Department of Otolaryngology/Head & Neck Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
authors: C
authors: C
authors: Archer
authors: Department of Medical Microbiology and Virology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
authors: A
authors: A
authors: Basarab
authors: Department of Allergy and Immunology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
authors: E
authors: E
authors: Eren
authors: Department of Radiology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
authors: V
authors: V
authors: Batty
authors: Department of Paediatrics, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
authors: S
authors: S
authors: Patel
authors: Department of Otolaryngology/Head & Neck Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK; Academic Unit of Clinical and Experimental Sciences, University of Southampton Faculty of Medicine, Southampton, UK.
authors: R J
authors: RJ
authors: Salib
authors: Department of Otorhinolaryngology, Royal Hampshire County Hospital, Winchester, UK.
authors: A
authors: A
authors: Burgess
authors: Department of Otolaryngology/Head & Neck Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
authors: H
authors: H
authors: Ismail-Koch
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D002648:Child; D006801:Humans; D007121:Immunocompetence; D008297:Male; D008876:Middle Ear Ventilation / Q000009:adverse effects*; D059249:Otomycosis / Q000188:drug therapy* / Q000382:microbiology*; D035583:Rare Diseases / Q000188:drug therapy / Q000382:microbiology; D021681:Scedosporium
chemical_list: D000935:Antifungal Agents
keywords: Fungal; Immunocompetent; Otomycosis; Scedosporium apiospermum; Tympanostomy