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Chinese Journal of Mycology 2023, Vol. 18  Issue (2): 146-150.

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Pulmonary infection and encephalopyosis induced by Scedosporium apiospermum:a case report and literatures review

CAO Ya, TAN Qingche, ZHANG Jiatang, ZHAO Hong, SU Min, MA Yubao, HE Mianwang, YANG Fei, YU Shengyuan   

  1. Department of Neurology, The First Medical Centre, Chinese PLA General Hospital, Beijing 100853, China
  • Received:2022-08-15 Online:2023-04-28 Published:2023-05-26

Abstract: To reported one case of pulmonary infection and encephalopyosis caused by Scedosporium apiospermum, and to discuss the clinical features and the treatment. The patient’s broncholveolr lvge fluid, cerebrospinal fluid and intracranial drainage specimens were taken for fungal culture and morphological identification, and next generation sequencing. Surgical drainage and voriconazole antifungal therapy were used. According to the morphological characteristics of the strain and the results of gene sequencing, it was identified as Scedosporium apiospermum. Pulmonary and central nervous system fungal infections caused by Scedosporium apiospermum are less common and their identification relies primarily on morphological features and genetic analysis. Surgical drainage and voriconazole have a good therapeutic effect on this. However, a further follow-up is requied.

Key words: Scedosporium apiospermum, pulmonary infection, central nervous system infections, encephalopyosis, treatment therapy

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