Journal

The Journal of the Japanese Society for Clinical Microbiology

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[Vol.14 No.4 contents]
Japanese / English

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Article in Japanese

ArticleTitle A Case of Scedosporium apiospermum Infection Presenting as Pulmonary Abscess and Multiple Brain Abscesses
Language J
AuthorList Yumiko Kimura1), Wakana Saitoh2), Kenji Kawakami3), Hidenori Matsuo4), Katsutarou Nishimoto5)
Affiliation 1) Department of Clinical Laboratory, National Hospital Organization Nagasaki Medical Center of Neurology
2) Department of Respiratory Disease, National Hospital Organization Tokyo Hospital
3) Department of Respiratory Disease, National Hospital Organization Nagasaki Medical Center of Neurology
4) Division of Clinical Research, National Hospital Organization Nagasaki Medical Center of Neurology
5) Department of Dermatology, Japan Seafarers Relief Association Nagasaki Hospital
Publication J.J.C.M.: 14 (4), 223-227, 2004
Received July 14, 2004
Accepted October 12, 2004
Abstract We report a case of cerebral and pulmonary abscess caused by Scedosporium apiospermum, a member of emerging pathogens. A 82-year-old female, suffering from interstitial pneumonitis and on corticosteroid therapy, was hospitalized for general malaise and increasing chest shadow with cavity formation. Multiple brain abscesses proved by cerebral MRI, and mycosis was strongly suggested by serological test. We treated the patient with antifungal drugs but she died due to subarachnoidal hemorrhage. Necropsy revealed lung abscess and multiple brain abscesses, and from both of which S. apiospermum was isolated. This was a rare case of cerebral and pulmonary infection of S. apiospermum in Japan.
Keywords Scedosporium apiospermum, Aspergillus
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