KMID : 0383820100690040298
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Tuberculosis and Respiratory Diseases 2010 Volume.69 No. 4 p.298 ~ p.302
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Disseminated Scedosporium apiospermum Infection Induced from Aspiration Pneumonia after Near-Drowning
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Won Ho-Youn
Kim Hyung-Rae Kim Dong-Hwan Oh Jae-Won Kie Jeong-Hae Hahn Chang-Hoon Lee Sun-Min Kim Chong-Ju
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Abstract
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Scedosporium apiospermum, the anamorph of Pseudallescheria boydii, is a ubiquitous saprophytic fungus. S. apiospermum can cause life-threatening infections usually in immunocompromised patients or after near-drowning incidents. Here, we report the first case of disseminated infection caused by S. apiospermum after near-drowning in Korea. A 44-year-old healthy man developed aspiration pneumonia, followed by multiple brain abscesses, and endopthalmitis, after a near-drowning incident in a septic tank. S. apiospermum infection was diagnosed on the 33rd day after the incident had occurred. The patient died from the progressive renal failure 255 days after incident, although he had been treated with voriconazole.
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KEYWORD
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Scedosporium, Pneumonia, Aspiration, Near Drowning
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