Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Disseminated Scedosporium apiospermum Infection Induced from Aspiration Pneumonia after Near-Drowning

익수 후 발생한 흡인성 폐렴에서 유발된 파종성 Scedosporium apiospermum 감염 1예

  • Won, Ho-Youn (Department of Internal Medicine, National Health Insurance Corporation Ilsan Hospital) ;
  • Kim, Hyung-Rae (Department of Internal Medicine, National Health Insurance Corporation Ilsan Hospital) ;
  • Kim, Dong-Hwan (Department of Internal Medicine, National Health Insurance Corporation Ilsan Hospital) ;
  • Oh, Jae-Won (Department of Internal Medicine, National Health Insurance Corporation Ilsan Hospital) ;
  • Ki, Jung-Hye (Department of Pathology, National Health Insurance Corporation Ilsan Hospital) ;
  • Han, Chang-Hun (Department of Internal Medicine, National Health Insurance Corporation Ilsan Hospital) ;
  • Lee, Sun-Min (Department of Internal Medicine, National Health Insurance Corporation Ilsan Hospital) ;
  • Kim, Cheong-Ju (Department of Internal Medicine, National Health Insurance Corporation Ilsan Hospital)
  • 원호연 (국민건강보험공단 일산병원 내과) ;
  • 김형래 (국민건강보험공단 일산병원 내과) ;
  • 김동환 (국민건강보험공단 일산병원 내과) ;
  • 오재원 (국민건강보험공단 일산병원 내과) ;
  • 기정혜 (국민건강보험공단 일산병원 병리과) ;
  • 한창훈 (국민건강보험공단 일산병원 내과) ;
  • 이선민 (국민건강보험공단 일산병원 내과) ;
  • 김정주 (국민건강보험공단 일산병원 내과)
  • Received : 2010.06.15
  • Accepted : 2010.09.15
  • Published : 2010.10.30
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Abstract

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.

Keywords

References

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