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Scedosporiosis

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391:, although foot or leg is a common location of such an infection. A typical cause could be an open wound or surgery and both immunocompetent and immunocompromised patients can develop the infection. Eumycetoma grows in a granular fashion, is usually painless at first and grows steadily, causing complications and even disability if left untreated. 509:
Effective treatment against scedosporiosis continues to present a challenge to modern medicine – as do many other fungal infections. It is still being researched and can vary depending on the localization and type of infection. Factors like immunodeficiency can significantly hinder the chances of a
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Disseminated infections present a significant challenge to manage and result in consistently high mortality. Some studies suggest overall mortality rates for disseminated infections to be within 58-75%. A review of 25 cases published in 2006 reported mortality rates of disseminated infections with
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infection found no association with antifungal treatment (using then-currently available medications) and reduced risk of death. One study, however, argued for the efficiency of combination therapy using voriconazole and terbinafine to cure an orthopedic infection in a non-immunocompromised host
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The risk of misidentification of the fungi for other infecting agents is, as previously mentioned, extant and significant as a given treatment will be differently applicable to different fungal infections, especially considering resistance patterns. In 2002, a corneal disease case was reported
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The culmination of disseminated scedosporiosis would be a highly fatal infection (>90% mortality rate) of the central nervous system. This development is possible in both immunocompromised and immunodeficient individuals. Studies report the former group develops the condition after a
179:, it is the second most common fungal infection. Moreover, a certain difficulty has been reported with correctly identifying the pathogen as, for example, scedosporal infections are in some cases almost indistinguishable from infections with other 1848: 1608:
Rogasi PG, Zanazzi M, Nocentini J, Fantoni E, Trotta M, Faggi E, et al. (2007). "Disseminated Scedosporium apiospermum infection in renal transplant recipient: long-term successful treatment with voriconazole: a case report".
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Gosbell IB, Toumasatos V, Yong J, Kuo RS, Ellis DH, Perrie RC (June 2003). "Cure of orthopaedic infection with Scedosporium prolificans, using voriconazole plus terbinafine, without the need for radical surgery".
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Reported as "most catastrophic", a systematic disseminated scedosporal infection happens after its infiltration of blood vessel and subsequent growth in tissues. In neutropenic patients and patients with
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to be among the most common infecting agents from the genus, although infections caused by other members thereof are not unheard of. The latter is an asexual form (anamorph) of another fungus,
450:, have a risk of developing an infection that would constitute a spread of the extant localized infection throughout the organism. Additional and highly significant risk factor is 348:
are capable of causing a wide range of infections, both in immunocompromised and immunocompetent individuals. Infections arising therefrom can be both localized and disseminated.
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and limbs. It can commonly be found on the surface of the skin in a form of white and yellow papules. Among the other most common manifestations would be mycetoma, specifically,
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was reported to be effective in 2017. An immunocompromised patient suffering from an intense subcutaneous infection in his right leg was successfully treated using this method.
789:"Infections due to Scedosporium apiospermum and Scedosporium prolificans in transplant recipients: clinical characteristics and impact of antifungal agent therapy on outcome" 1284:
Chen SC, Patel S, Meyer W, Chapman B, Yu H, Byth K, et al. (February 2018). "Pseudomonas aeruginosa Inhibits the Growth of Scedosporium and Lomentospora In Vitro".
187:– this difficulty could have potentially contributed to the "underrating" of the pathogen. All of this, along with the wide resistance possessed by the pathogens to the 543:
treatment presents a more significant challenge due to its wider array of antifungal resistance. Localized limb infections might require extensive surgery or even
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Lackner M, De Hoog GS, Yang L, Moreno LF, Ahmed SA, Andreas F, et al. (2014). "Proposed nomenclature for Pseudallescheria, Scedosporium and related genera".
1646:"Recurrent Scedosporium apiospermum mycetoma successfully treated by surgical excision and terbinafine treatment: a case report and review of the literature" 273:
was shown to be erroneous. In the correction to that particular case, a distinction was suggested based on the arrangement of cells and shape and color of
641:"Population-based surveillance for scedosporiosis in Australia: epidemiology, disease manifestations and emergence of Scedosporium aurantiacum infection" 191:
therapies currently in medical use, presents the increased interest for researchers to further study the scedoporal infections and develop treatments.
514:. A study of 107 patients with saw the treatment successfully working in 57% in patients infected with scedosporiosis with best effects in localized 352: 32: 161:
and even an "underrated" opportunistic pathogen. It was reported in a 2003 US study that Scedosporiosis had been associated with 25% of all non-
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experience in water contaminated with the pathogen's conidia. An extreme manifestation of this highly lethal case of scedosporiosis would be a
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Klimko, N.N; Veselov, A.V. (2003) New Antifungals for the treatment of Invasive Mycoses. Clinical Microbiology and Antimicrobial Chemotherapy
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Gelabert-González M, Arcos-Algaba A, Serramito-García R, García-Allut A, Llovo-Taboada J, Peñalver-Barral MD, Reyes-Santías R (2010).
526:. A 2007 case report likewise shows the effectiveness of voriconazole in a renal transplant patient with disseminated scedosporiosis. 1412:
Katragkou A, Dotis J, Kotsiou M, Tamiolaki M, Roilides E (September 2007). "Scedosporium apiospermum infection after near-drowning".
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is, indeed, not a recently discovered human pathogen and data about it have been aggregated over a period of more than 120 years.
284: 830:"Opportunistic mycelial fungal infections in organ transplant recipients: emerging importance of non-Aspergillus mycelial fungi" 1900: 1596: 1456: 580: 158: 697:
Ramirez-Garcia A, Pellon A, Rementeria A, Buldain I, Barreto-Bergter E, Rollin-Pinheiro R, et al. (April 2018).
1139:"Scedosporium prolificans keratouveitis in association with a contact lens retained intraocularly over a long term" 1695:
Rodriguez-Tudela JL, Berenguer J, Guarro J, Kantarcioglu AS, Horre R, de Hoog GS, Cuenca-Estrella M (June 2009).
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Guarro J, Kantarcioglu AS, Horré R, Rodriguez-Tudela JL, Cuenca Estrella M, Berenguer J, de Hoog GS (June 2006).
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successful outcome. Studies suggest Voriconazole to be effective as clinical treatment for infections caused by
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was found to be consistently resistant to all of these drugs and the effectiveness of voriconazole against it
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More resent medical advances show hope for more efficient antifungal therapies, however, as novel drugs like
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Antachopoulos C, Katragkou A, Roilides E (January 2012). "Immunotherapy against invasive mold infections".
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with the overall mortality being 79% among all patients, with a likewise 100% mortality for infections by
328: 143: 1015:"Immunoproteomics-Based Analysis of the Immunocompetent Serological Response to Lomentospora prolificans" 1032: 230:. It has also been reported that at different timepoints, both, at some point, have been referred to as 168: 1457:"Absceso cerebral por Scedosporium apiospermum. Presentación de un caso con revisión de la literatura" 270: 1235:
Lackner M, de Hoog GS, Verweij PE, Najafzadeh MJ, Curfs-Breuker I, Klaassen CH, Meis JF (May 2012).
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skin and bone infections. A 2003 review confirms its effectiveness for treating invasive mycosis of
380: 1237:"Species-specific antifungal susceptibility patterns of Scedosporium and Pseudallescheria species" 1762: 1437: 1309: 1119: 1811: 1754: 1718: 1677: 1626: 1574: 1525: 1476: 1429: 1394: 1373:"Voriconazole MICs are predictive for the outcome of experimental disseminated scedosporiosis" 1350: 1301: 1266: 1217: 1168: 1111: 1076: 996: 952: 903: 851: 810: 764: 720: 662: 467: 443: 27: 787:
Husain S, Muñoz P, Forrest G, Alexander BD, Somani J, Brennan K, et al. (January 2005).
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are known to be able to cause it. It presents itself in a form of painful lesions within the
251:, likewise, went through a name change, and in the most recent literature, the original name 1801: 1793: 1746: 1708: 1667: 1657: 1618: 1564: 1556: 1515: 1507: 1468: 1421: 1384: 1340: 1293: 1256: 1248: 1207: 1199: 1158: 1150: 1103: 1068: 1018: 986: 942: 934: 893: 885: 841: 800: 754: 710: 652: 619: 70: 269:. The identification performed by the researchers based on the specifics of the pathogen’s 142:
fungus), currently not characterized as well, although both of them have been described as
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https://cmac-journal.ru/publication/2003/4/cmac-2003-t05-n4-p342/cmac-2003-t05-n4-p342.pdf
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Troke P, Aguirrebengoa K, Arteaga C, Ellis D, Heath CH, Lutsar I, et al. (May 2008).
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Martin-Vicente A, Guarro J, González GM, Lass-Flörl C, Lackner M, Capilla J (April 2017).
1045: 975:"Scedosporium apiospermum: changing clinical spectrum of a therapy-refractory opportunist" 872:
Denton EJ, Smibert O, Gooi J, Morrissey CO, Snell G, McGiffin D, Paraskeva M (June 2016).
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as well as other fungi known to be universally resistant to known antifungal medications.
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Husain S, Alexander BD, Munoz P, Avery RK, Houston S, Pruett T, et al. (July 2003).
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Heath CH, Slavin MA, Sorrell TC, Handke R, Harun A, Phillips M, et al. (July 2009).
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was found to be resistant to a wide range of the known antifungal drugs, displaying high
1806: 1781: 1697:"Epidemiology and outcome of Scedosporium prolificans infection, a review of 162 cases" 1672: 1645: 1622: 1569: 1544: 1520: 1495: 1261: 1236: 1023: 1014: 947: 922: 898: 873: 471: 288: 172: 1545:"Treatment of scedosporiosis with voriconazole: clinical experience with 107 patients" 1494:
Box H, Negri C, Livermore J, Whalley S, Johnson A, McEntee L, et al. (May 2018).
1472: 1212: 1187: 1894: 1750: 1425: 1163: 1154: 1138: 657: 640: 604: 556: 490: 486: 392: 308: 1766: 1441: 1345: 1328: 1313: 1203: 1123: 564: 523: 300: 296: 113: 1137:
Arthur S, Steed LL, Apple DJ, Peng Q, Howard G, Escobar-Gomez M (December 2001).
587:– is also deserving of the reader's attention as it showed efficacy against both 921:
Nagano Y, Cherie MB, Goldsmith CE, Stuart EJ, Rendall J, Moore JE (2009-01-08).
534: 451: 431: 163: 139: 74: 65: 889: 699:"Scedosporium and Lomentospora: an updated overview of underrated opportunists" 1713: 1696: 1662: 1644:
Tóth EJ, Nagy GR, Homa M, Ábrók M, Kiss IÉ, Nagy G, et al. (April 2017).
1297: 1107: 991: 974: 874:"Invasive Scedosporium sternal osteomyelitis following lung transplant: Cured" 544: 376: 304: 188: 88: 1480: 1115: 938: 741:
Revankar SG, Patterson JE, Sutton DA, Pullen R, Rinaldi MG (February 2002).
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to be 70 and 100%, respectively. A 2002 review of 72 cases of disseminated
215:, on the other hand, was discovered more recently, in 1974, under the name 199:
First detectable description of a scedosporal disease arises in 1911 where
1840: 1873: 1560: 1511: 1389: 1372: 1252: 715: 698: 609: 576: 447: 274: 204: 1496:"Pharmacodynamics of Voriconazole for Invasive Pulmonary Scedosporiosis" 923:"Emergence of Scedosporium apiospermum in patients with cystic fibrosis" 533:-caused mycetoma, a treatment constituting a combination of surgery and 1072: 614: 396: 101: 36: 407:
was reported in a successfully cured lung transplant patient in 2016.
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patients. In a similar 2005 study scedosporal infections caused a 58%
1852: 1188:"Acrophialophora fusispora misidentified as Scedosporium prolificans" 427: 415: 384: 109: 78: 175:
for transplant recipients affected with it. Among the patients with
846: 829: 805: 788: 759: 742: 559:– a glucan synthase inhibitor – is somewhat effective in treating 372: 150: 501:, this produces most severe case of the infection and fatality. 388: 277:, however, in practice, difficulties therein still can persist. 180: 743:"Disseminated phaeohyphomycosis: review of an emerging mycosis" 498: 400: 255:
is generally preferred as proposed by Lackner et al. in 2014.
1782:"Hope on the Horizon: Novel Fungal Treatments in Development" 1780:
Rauseo AM, Coler-Reilly A, Larson L, Spec A (February 2020).
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Hematology. American Society of Hematology. Education Program
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are more and more recognized as significant human pathogens.
1329:"Treatment of fungal disease in the setting of neutropenia" 322:
Interestingly, it was recently established that the growth
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reported poor outcomes for the antifungal treatment using
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patients are a significant proportion of those at risk of
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Localized scedosporiosis can occur in a vast range of
122:(also known and recently more commonly referred to as 1366: 1364: 692: 690: 688: 686: 684: 682: 680: 678: 676: 1830: 571:
efficacy as treatment for scedosporiosis (including
446:, as well as those suffering from cancers including 1864: 1834: 84: 64: 50: 42: 26: 21: 1650:Annals of Clinical Microbiology and Antimicrobials 442:Severely immunocompromised patients, patients on 222:There has been a series of name changes for both 351:It was reported that solid organ transplant and 736: 734: 299:, and is, to different extents, susceptible to 968: 966: 867: 865: 782: 780: 778: 8: 522:while also citing evidence for efficacy of 379:(a mycetoma caused by a fungus), affecting 116:. Current population-based studies suggest 1831: 567:, another fungal enzyme inhibitor, showed 326:can be inhibited by non-mucoid strains of 18: 1805: 1712: 1671: 1661: 1568: 1519: 1388: 1377:The Journal of Antimicrobial Chemotherapy 1344: 1260: 1211: 1162: 1022: 990: 946: 897: 845: 804: 758: 714: 656: 454:, found especially in leukemia patients. 410:Scedosporal eye infection, specifically, 552:without the need for a radical surgery. 414:, arises usually after an injury of the 207:– a deep fungal subcutaneous infection. 631: 1327:Walsh TJ, Gamaletsou MN (2013-12-06). 1041: 1030: 1549:Antimicrobial Agents and Chemotherapy 1500:Antimicrobial Agents and Chemotherapy 1241:Antimicrobial Agents and Chemotherapy 138:. The former is a "black yeast" (aka 7: 1186:Guarro J, Gené J (September 2002). 645:Clinical Microbiology and Infection 203:was identified as a cause of human 1623:10.1016/j.transproceed.2007.05.044 1024:10.1021/acs.jproteome.5b00978.s001 353:hematopoietic stem cell transplant 14: 1751:10.1046/j.1439-0507.2003.00878.x 1426:10.1111/j.1439-0507.2007.01388.x 1192:Journal of Clinical Microbiology 1155:10.1128/jcm.39.12.4579-4582.2001 1143:Journal of Clinical Microbiology 658:10.1111/j.1469-0691.2009.02802.x 285:minimal inhibitory concentration 1346:10.1182/asheducation-2013.1.423 1204:10.1128/JCM.40.9.3544-3545.2002 1786:Open Forum Infectious Diseases 1: 1473:10.1016/s1130-1473(10)70068-3 878:Medical Mycology Case Reports 430:accompanied by symptoms like 183:, like the already-mentioned 834:Clinical Infectious Diseases 793:Clinical Infectious Diseases 747:Clinical Infectious Diseases 581:dihydroorotate dehydrogenase 100:is the general name for any 1611:Transplantation Proceedings 583:inhibitor – which disrupts 547:. A review of 162 cases of 1922: 933:(jan08 1): bcr2007119503. 890:10.1016/j.mmcr.2016.07.001 563:infections. Another drug, 403:bone infection, caused by 1714:10.1080/13693780802524506 1663:10.1186/s12941-017-0195-z 1298:10.1007/s11046-017-0140-x 1108:10.1007/s13225-014-0295-4 992:10.1080/13693780600752507 444:immunosuppressive therapy 262:Acrophialophora fusispora 129:Scedosporium apiospermum 124:Lomentospora prolificans 119:Scedosporium prolificans 104:– i.e., fungal infection 59:Scedosporium apiospermum 55:Scedosporium prolificans 939:10.1136/bcr.2007.119503 585:pyrimidine biosynthesis 246:Monosporium apiospermum 242:Pseudallescheria sheari 135:Pseudallescheria boydii 46:localized, disseminated 1901:Animal fungal diseases 1040:Cite journal requires 329:Pseudomonas aeruginosa 167:fungal infections for 249:. S. prolificans 1798:10.1093/ofid/ofaa016 1561:10.1128/aac.01388-07 1512:10.1128/AAC.02516-17 1253:10.1128/AAC.05910-11 709:(suppl_1): 102–125. 480:S. prolificans. 438:Disseminated mycosis 434:and blurred vision. 233:Petriellidium boydii 593:S. apiospermum 589:S. prolificans 573:S. prolificans 561:S. prolificans 549:S. prolificans 531:S. apiospermum 520:S. apiospermum 516:S. apiospermum 512:S. apiospermum 464:S. prolificans 460:S. apiospermum 424:S. prolificans 420:S. apiospermum 405:S. apiospermum 381:subcutaneous tissue 346:S. prolificans 342:S. apiospermum 324:S. prolificans 313:S. prolificans 281:S. apiospermum 253:L. prolificans 226:and its teleomorph 224:S. apiospermum 209:S. apiospermum 201:S. apiospermum 157:is described as an 155:S. apiospermum 1865:External resources 1390:10.1093/jac/dkw532 1073:10.2217/imt.11.159 716:10.1093/mmy/myx113 383:, joints and even 238:Allescheria boydii 149:The fungi of this 33:Infectious disease 1888: 1887: 468:phaeohyphomycosis 363:Localized mycosis 265:was mistaken for 185:Aspergillus  181:filamentous fungi 95: 94: 16:Medical condition 1913: 1832: 1820: 1819: 1809: 1777: 1771: 1770: 1733: 1727: 1726: 1716: 1701:Medical Mycology 1692: 1686: 1685: 1675: 1665: 1641: 1635: 1634: 1605: 1599: 1589: 1583: 1582: 1572: 1540: 1534: 1533: 1523: 1506:(5): e02516–17. 1491: 1485: 1484: 1452: 1446: 1445: 1409: 1403: 1402: 1392: 1383:(4): 1118–1122. 1368: 1359: 1358: 1348: 1324: 1318: 1317: 1281: 1275: 1274: 1264: 1232: 1226: 1225: 1215: 1198:(9): 3544–3545. 1183: 1177: 1176: 1166: 1134: 1128: 1127: 1096:Fungal Diversity 1091: 1085: 1084: 1056: 1050: 1049: 1043: 1038: 1036: 1028: 1026: 1011: 1005: 1004: 994: 979:Medical Mycology 970: 961: 960: 950: 927:BMJ Case Reports 918: 912: 911: 901: 869: 860: 859: 849: 825: 819: 818: 808: 784: 773: 772: 762: 738: 729: 728: 718: 703:Medical Mycology 694: 671: 670: 660: 636: 620:Immunodeficiency 395:, particularly, 169:organ transplant 71:immunodeficiency 19: 1921: 1920: 1916: 1915: 1914: 1912: 1911: 1910: 1906:Fungal diseases 1891: 1890: 1889: 1884: 1883: 1860: 1859: 1843: 1829: 1824: 1823: 1779: 1778: 1774: 1735: 1734: 1730: 1694: 1693: 1689: 1643: 1642: 1638: 1607: 1606: 1602: 1590: 1586: 1542: 1541: 1537: 1493: 1492: 1488: 1454: 1453: 1449: 1411: 1410: 1406: 1370: 1369: 1362: 1326: 1325: 1321: 1283: 1282: 1278: 1234: 1233: 1229: 1185: 1184: 1180: 1149:(12): 4579–82. 1136: 1135: 1131: 1093: 1092: 1088: 1058: 1057: 1053: 1039: 1029: 1013: 1012: 1008: 972: 971: 964: 920: 919: 915: 871: 870: 863: 827: 826: 822: 786: 785: 776: 740: 739: 732: 696: 695: 674: 638: 637: 633: 628: 601: 507: 440: 369:internal organs 365: 338: 197: 177:cystic fibrosis 112:from the genus 17: 12: 11: 5: 1919: 1917: 1909: 1908: 1903: 1893: 1892: 1886: 1885: 1882: 1881: 1869: 1868: 1866: 1862: 1861: 1858: 1857: 1844: 1839: 1838: 1836: 1835:Classification 1828: 1827:External links 1825: 1822: 1821: 1792:(2): ofaa016. 1772: 1745:(5–6): 233–6. 1728: 1687: 1636: 1600: 1584: 1555:(5): 1743–50. 1535: 1486: 1467:(2): 125–131. 1447: 1404: 1360: 1319: 1292:(1): 251–261. 1286:Mycopathologia 1276: 1247:(5): 2635–42. 1227: 1178: 1129: 1086: 1051: 1042:|journal= 1006: 985:(4): 295–327. 962: 913: 861: 847:10.1086/375822 820: 806:10.1086/426445 774: 760:10.1086/338636 730: 672: 630: 629: 627: 624: 623: 622: 617: 612: 607: 600: 597: 541:S. prolificans 506: 503: 439: 436: 364: 361: 337: 334: 289:amphotericin B 228:P. boydii 217:L. prolificans 213:S. prolificans 196: 193: 173:mortality rate 108:– caused by a 98:Scedosporiosis 93: 92: 91:drugs, surgery 86: 82: 81: 68: 62: 61: 52: 48: 47: 44: 40: 39: 30: 24: 23: 22:Scedosporiosis 15: 13: 10: 9: 6: 4: 3: 2: 1918: 1907: 1904: 1902: 1899: 1898: 1896: 1880: 1876: 1875: 1871: 1870: 1867: 1863: 1855: 1854: 1850: 1846: 1845: 1842: 1837: 1833: 1826: 1817: 1813: 1808: 1803: 1799: 1795: 1791: 1787: 1783: 1776: 1773: 1768: 1764: 1760: 1756: 1752: 1748: 1744: 1740: 1732: 1729: 1724: 1720: 1715: 1710: 1707:(4): 359–70. 1706: 1702: 1698: 1691: 1688: 1683: 1679: 1674: 1669: 1664: 1659: 1655: 1651: 1647: 1640: 1637: 1632: 1628: 1624: 1620: 1617:(6): 2033–5. 1616: 1612: 1604: 1601: 1598: 1594: 1588: 1585: 1580: 1576: 1571: 1566: 1562: 1558: 1554: 1550: 1546: 1539: 1536: 1531: 1527: 1522: 1517: 1513: 1509: 1505: 1501: 1497: 1490: 1487: 1482: 1478: 1474: 1470: 1466: 1462: 1458: 1451: 1448: 1443: 1439: 1435: 1431: 1427: 1423: 1420:(5): 412–21. 1419: 1415: 1408: 1405: 1400: 1396: 1391: 1386: 1382: 1378: 1374: 1367: 1365: 1361: 1356: 1352: 1347: 1342: 1338: 1334: 1330: 1323: 1320: 1315: 1311: 1307: 1303: 1299: 1295: 1291: 1287: 1280: 1277: 1272: 1268: 1263: 1258: 1254: 1250: 1246: 1242: 1238: 1231: 1228: 1223: 1219: 1214: 1209: 1205: 1201: 1197: 1193: 1189: 1182: 1179: 1174: 1170: 1165: 1160: 1156: 1152: 1148: 1144: 1140: 1133: 1130: 1125: 1121: 1117: 1113: 1109: 1105: 1101: 1097: 1090: 1087: 1082: 1078: 1074: 1070: 1067:(1): 107–20. 1066: 1062: 1061:Immunotherapy 1055: 1052: 1047: 1034: 1025: 1020: 1016: 1010: 1007: 1002: 998: 993: 988: 984: 980: 976: 969: 967: 963: 958: 954: 949: 944: 940: 936: 932: 928: 924: 917: 914: 909: 905: 900: 895: 891: 887: 883: 879: 875: 868: 866: 862: 857: 853: 848: 843: 839: 835: 831: 824: 821: 816: 812: 807: 802: 798: 794: 790: 783: 781: 779: 775: 770: 766: 761: 756: 753:(4): 467–76. 752: 748: 744: 737: 735: 731: 726: 722: 717: 712: 708: 704: 700: 693: 691: 689: 687: 685: 683: 681: 679: 677: 673: 668: 664: 659: 654: 651:(7): 689–93. 650: 646: 642: 635: 632: 625: 621: 618: 616: 613: 611: 608: 606: 605:Aspergillosis 603: 602: 598: 596: 594: 590: 586: 582: 578: 574: 570: 566: 562: 558: 557:Ibrexafungerp 553: 550: 546: 542: 538: 536: 532: 527: 525: 521: 517: 513: 504: 502: 500: 494: 492: 491:brain abscess 488: 487:near-drowning 482: 481: 477: 475: 469: 465: 461: 455: 453: 449: 445: 437: 435: 433: 429: 425: 421: 417: 413: 408: 406: 402: 398: 394: 393:Osteomyelitis 390: 386: 382: 378: 374: 370: 362: 360: 358: 354: 349: 347: 343: 335: 333: 331: 330: 325: 320: 318: 314: 310: 309:anidulafungin 306: 302: 298: 294: 293:isavuconazole 290: 286: 282: 278: 276: 272: 268: 267:S. prolifcans 264: 263: 256: 254: 250: 247: 243: 239: 235: 234: 229: 225: 220: 218: 214: 210: 206: 202: 194: 192: 190: 186: 182: 178: 174: 170: 166: 165: 160: 156: 152: 147: 145: 141: 137: 136: 131: 130: 125: 121: 120: 115: 111: 107: 103: 99: 90: 87: 83: 80: 76: 72: 69: 67: 63: 60: 56: 53: 49: 45: 41: 38: 34: 31: 29: 25: 20: 1872: 1847: 1789: 1785: 1775: 1742: 1738: 1731: 1704: 1700: 1690: 1653: 1649: 1639: 1614: 1610: 1603: 1592: 1587: 1552: 1548: 1538: 1503: 1499: 1489: 1464: 1461:Neurocirugía 1460: 1450: 1417: 1413: 1407: 1380: 1376: 1339:(1): 423–7. 1336: 1332: 1322: 1289: 1285: 1279: 1244: 1240: 1230: 1195: 1191: 1181: 1146: 1142: 1132: 1099: 1095: 1089: 1064: 1060: 1054: 1033:cite journal 1009: 982: 978: 930: 926: 916: 881: 877: 840:(2): 221–9. 837: 833: 823: 799:(1): 89–99. 796: 792: 750: 746: 706: 702: 648: 644: 634: 592: 588: 572: 568: 565:fosmanogepix 560: 554: 548: 540: 539: 530: 529:In cases of 528: 524:ravuconazole 519: 515: 511: 508: 495: 483: 479: 473: 472:amphotericin 463: 459: 456: 441: 423: 419: 409: 404: 366: 357:Scedosporium 356: 350: 345: 341: 339: 327: 323: 321: 319:is limited. 316: 312: 301:voriconazole 297:posaconazole 280: 279: 266: 260: 257: 252: 248: 245: 241: 237: 232: 227: 223: 221: 216: 212: 208: 200: 198: 184: 162: 154: 148: 140:dematiaceous 133: 127: 123: 117: 114:Scedosporium 105: 97: 96: 66:Risk factors 1102:(1): 1–10. 535:terbinafine 452:neutropenia 432:photophobia 164:Aspergillus 144:saprophytes 75:neutropenia 1895:Categories 626:References 545:amputation 399:and lower 377:eumycetoma 305:micafungin 287:values to 271:morphology 195:Background 189:antifungal 89:antifungal 1656:(1): 31. 1481:1130-1473 1116:1560-2745 505:Treatment 412:keratitis 359:mycoses. 336:Infection 85:Treatment 28:Specialty 1874:Orphanet 1816:32099843 1767:30626011 1759:12801370 1723:19031336 1682:28410611 1631:17692684 1579:18212110 1530:29439967 1442:42935146 1434:17714363 1399:28031271 1355:24319214 1314:26000119 1306:28512704 1271:22290955 1222:12202618 1173:11724890 1124:14284012 1081:22150004 1001:16772225 957:21687279 908:27595059 884:: 14–6. 856:12856215 815:15614697 769:11797173 725:29538735 667:19549223 610:Mycetoma 599:See also 579:, a new 577:Olorofim 569:in vitro 448:leukemia 317:in vitro 259:wherein 205:mycetoma 159:emerging 1856:: B48.7 1807:7031074 1739:Mycoses 1673:5391591 1570:2346616 1521:5923149 1414:Mycoses 1262:3346635 948:3034750 899:4995602 615:Mycosis 418:, both 397:sternal 385:muscles 371:and in 275:conidia 102:mycosis 37:mycosis 1879:449280 1814:  1804:  1765:  1757:  1721:  1680:  1670:  1629:  1577:  1567:  1528:  1518:  1479:  1440:  1432:  1397:  1353:  1312:  1304:  1269:  1259:  1220:  1213:130777 1210:  1171:  1161:  1122:  1114:  1079:  999:  955:  945:  906:  896:  854:  813:  767:  723:  665:  474:  428:retina 416:cornea 373:joints 126:) and 110:fungus 106:  79:cancer 51:Causes 1763:S2CID 1438:S2CID 1310:S2CID 1164:88594 1120:S2CID 389:bones 340:Both 151:genus 43:Types 1812:PMID 1755:PMID 1719:PMID 1678:PMID 1627:PMID 1595:(4) 1575:PMID 1526:PMID 1477:ISSN 1430:PMID 1395:PMID 1351:PMID 1337:2013 1302:PMID 1267:PMID 1218:PMID 1169:PMID 1112:ISSN 1077:PMID 1046:help 997:PMID 953:PMID 931:2009 904:PMID 852:PMID 811:PMID 765:PMID 721:PMID 663:PMID 591:and 462:and 422:and 387:and 344:and 307:and 295:and 244:and 1849:ICD 1802:PMC 1794:doi 1747:doi 1709:doi 1668:PMC 1658:doi 1619:doi 1565:PMC 1557:doi 1516:PMC 1508:doi 1469:doi 1422:doi 1385:doi 1341:doi 1294:doi 1290:183 1257:PMC 1249:doi 1208:PMC 1200:doi 1159:PMC 1151:doi 1104:doi 1069:doi 1019:doi 987:doi 943:PMC 935:doi 894:PMC 886:doi 842:doi 801:doi 755:doi 711:doi 653:doi 575:). 499:HIV 401:rib 1897:: 1877:: 1853:10 1810:. 1800:. 1788:. 1784:. 1761:. 1753:. 1743:46 1741:. 1717:. 1705:47 1703:. 1699:. 1676:. 1666:. 1654:16 1652:. 1648:. 1625:. 1615:39 1613:. 1573:. 1563:. 1553:52 1551:. 1547:. 1524:. 1514:. 1504:62 1502:. 1498:. 1475:. 1465:21 1463:. 1459:. 1436:. 1428:. 1418:50 1416:. 1393:. 1381:72 1379:. 1375:. 1363:^ 1349:. 1335:. 1331:. 1308:. 1300:. 1288:. 1265:. 1255:. 1245:56 1243:. 1239:. 1216:. 1206:. 1196:40 1194:. 1190:. 1167:. 1157:. 1147:39 1145:. 1141:. 1118:. 1110:. 1100:67 1098:. 1075:. 1063:. 1037:: 1035:}} 1031:{{ 1017:. 995:. 983:44 981:. 977:. 965:^ 951:. 941:. 929:. 925:. 902:. 892:. 882:12 880:. 876:. 864:^ 850:. 838:37 836:. 832:. 809:. 797:40 795:. 791:. 777:^ 763:. 751:34 749:. 745:. 733:^ 719:. 707:56 705:. 701:. 675:^ 661:. 649:15 647:. 643:. 493:. 332:. 311:. 303:, 291:, 240:, 236:, 219:. 146:. 77:, 73:, 57:, 35:, 1851:- 1841:D 1818:. 1796:: 1790:7 1769:. 1749:: 1725:. 1711:: 1684:. 1660:: 1633:. 1621:: 1593:5 1581:. 1559:: 1532:. 1510:: 1483:. 1471:: 1444:. 1424:: 1401:. 1387:: 1357:. 1343:: 1316:. 1296:: 1273:. 1251:: 1224:. 1202:: 1175:. 1153:: 1126:. 1106:: 1083:. 1071:: 1065:4 1048:) 1044:( 1027:. 1021:: 1003:. 989:: 959:. 937:: 910:. 888:: 858:. 844:: 817:. 803:: 771:. 757:: 727:. 713:: 669:. 655:: 476:B

Index

Specialty
Infectious disease
mycosis
Scedosporium prolificans
Scedosporium apiospermum
Risk factors
immunodeficiency
neutropenia
cancer
antifungal
mycosis
fungus
Scedosporium
Scedosporium prolificans
Scedosporium apiospermum
Pseudallescheria boydii
dematiaceous
saprophytes
genus
emerging
Aspergillus
organ transplant
mortality rate
cystic fibrosis
filamentous fungi
antifungal
mycetoma
Petriellidium boydii
Acrophialophora fusispora
morphology

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