Imaging findings of pulmonary infection caused by Scedosporium prolificans in a deep immunocompromised patient

Emerg Radiol. 2008 Jan;15(1):47-9. doi: 10.1007/s10140-007-0634-9. Epub 2007 Jul 12.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Immunocompromised Host*
  • Leukemia, Myeloid / microbiology
  • Lung Diseases, Fungal / diagnostic imaging*
  • Lung Diseases, Fungal / microbiology
  • Mycetoma / diagnostic imaging*
  • Mycetoma / microbiology
  • Radiography
  • Scedosporium*