2006
DOI: 10.1080/13693780600752507
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Scedosporium apiospermum: changing clinical spectrum of a therapy-refractory opportunist*

Abstract: Current knowledge on the opportunist Scedosporium apiospermum (teleomorph: Pseudallescheria boydii), generated over a period of more than 120 years, is reviewed. The natural environmental habitat of the fungus is unknown; nutrient-rich, brackish waters like river estuaria have been suggested. The fungus is strongly promoted by agricultural and particularly by industrial pollution.

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Cited by 274 publications
(339 citation statements)
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References 295 publications
(322 reference statements)
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“…6,16 Systemic diseases caused by S. apiospermum have been referred to as allescheriasis, graphitosis, monosporiosis, petriellidiosis, pseudallescheria, pseudallescheriasis, or scedosporiosis. 10 This organism is now recognized as a potent and emerging pathogen of severe infection in immunosuppressed human patients.…”
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confidence: 99%
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“…6,16 Systemic diseases caused by S. apiospermum have been referred to as allescheriasis, graphitosis, monosporiosis, petriellidiosis, pseudallescheria, pseudallescheriasis, or scedosporiosis. 10 This organism is now recognized as a potent and emerging pathogen of severe infection in immunosuppressed human patients.…”
mentioning
confidence: 99%
“…17 In humans, the clinical presentation of scedosporiosis is largely dependent on the fungal strain, portal of entry, and immune status of the patient. 3,10 Three clinical syndromes can be distinguished: 1) localized disease after trauma, such as subcutaneous mycetoma, arthritis, osteomyelitis, endophthalmitis, or onychomycosis; 2) large asymptomatic or symptomatic colonization of cavities, mainly pulmonary cases, but also sinusitis or otitis; and 3) invasive systemic diseases such as pneumonia, endocarditis, or central nervous system disorders. 10 Classically, S. apiospermum has been implicated in subcutaneous infections and asymptomatic pulmonary colonization.…”
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confidence: 99%
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“…28,49 Scedosporium apiospermum (Figure 4) also may cause colonization and infection of the respiratory tract in persons with predisposing conditions, systemic invasive disease (usually in immunocompromised hosts) and keratitis, and has rarely been associated with otitis externa. 28,50 Common superficial fungal infections also may rarely result from freshwater exposure. Dermatophytes and other keratinophilic fungi have been reported in freshwater and sources of drinking water.…”
Section: Other Specific Infections Occasionally Linked To Freshwatermentioning
confidence: 99%
“…The most frequent causing agents of such infections are Candida, Aspergillus species, Cryptococcus neoformans, Mucor and some unusual genera such as Fusarium, Trichosporon, and Scedosporium (Guarro et al, 2006;Nucci & Anaissie, 2007). Furthermore, the most common treatment for these infectious diseases involves azoles and polyene macrolides, which are limited in their spectrum, and presenting severe side effects (Helmerhorst et al, 1999).…”
Section: Introductionmentioning
confidence: 99%