Scedosporium prolificans pericarditis and mycotic aortic aneurysm in a lung transplant recipient receiving voriconazole prophylaxis

被引:20
|
作者
Sayah, D. M. [1 ,2 ]
Schwartz, B. S. [3 ]
Kukreja, J. [4 ]
Singer, J. P. [1 ,2 ]
Golden, J. A. [1 ]
Leard, L. E. [1 ]
机构
[1] Univ Calif San Francisco, Dept Med, Div Pulm Crit Care Allergy & Sleep Med, San Francisco, CA USA
[2] Univ Calif San Francisco, Cardiovasc Res Inst, San Francisco, CA 94143 USA
[3] Univ Calif San Francisco, Dept Med, Div Infect Dis, San Francisco, CA USA
[4] Univ Calif San Francisco, Dept Surg, Div Adult Cardiothorac Surg, San Francisco, CA USA
关键词
lung transplantation; Scedosporium prolificans; fungal pericarditis; fungal mycotic aneurysm; voriconazole prophylaxis; FUNGAL-INFECTIONS; ZYGOMYCOSIS; APIOSPERMUM; ASPERGILLUS; INFLATUM; THERAPY; MOLDS;
D O I
10.1111/tid.12056
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Despite the adoption of antifungal prophylaxis, fungal infections remain a significant concern in lung transplant recipients. Indeed, some concern exists that such prophylaxis may increase the risk of infection with drug-resistant fungal organisms. Here, we describe a case of disseminated Scedosporium prolificans infection, presenting as pericarditis, which developed in a lung transplant patient receiving prophylactic voriconazole for 8months. The epidemiology and clinical presentation of S.prolificans infections are reviewed, and controversies surrounding antifungal prophylaxis and the development of resistant infections are discussed.
引用
收藏
页码:E70 / E74
页数:5
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